MEDICARE: TWO HEARTS MHC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740915685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWO HEARTS MHC INC

Provider Business Mailing Address
First Line	:	23123 STATE ROAD 7 STE 345
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-5479
Country	:	US
Telephone Number	:	561-461-7273
Fax Number	:	561-461-7271

Provider Business Practice Location Address
First Line	:	23123 STATE ROAD 7 STE 345
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-5479
Country	:	US
Telephone Number	:	561-461-7273
Fax Number	:	561-461-7271

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAVIER NUNEZ
Credential	:
Telephone Number	:	561-461-7273

Provider Enumeration Date	:	07/22/2022
Last Update Date	:	03/16/2026

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