MEDICARE: PREMA BEHAVIORAL SERVICES 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	:	1902497365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMA BEHAVIORAL SERVICES INC

Provider Business Mailing Address
First Line	:	1600 S DIXIE HWY STE 405
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-7454
Country	:	US
Telephone Number	:	786-278-5903
Fax Number	:	561-734-1460

Provider Business Practice Location Address
First Line	:	1600 S DIXIE HWY STE 405
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-7454
Country	:	US
Telephone Number	:	786-508-3245
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YAILET DELGADO
Credential	:
Telephone Number	:	786-278-5903

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	02/20/2025

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Directions to “PREMA BEHAVIORAL SERVICES INC ” Practice Location

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