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NPI Code Detail

MEDICARE: BEHAVIOR SUPPORT CENTER OF FLORIDA INC

MEDICARE: BEHAVIOR SUPPORT CENTER OF FLORIDA 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
1251B00000XCase Management Agency
2261QR0400XRehabilitation Clinic/Center
3103K00000XBehavior Analyst
4251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912367558
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR SUPPORT CENTER OF FLORIDA INC
Provider Business Mailing Address
First Line : 16440 NW 59TH AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-5602
Country : US
Telephone Number : 786-536-7561
Fax Number : 305-437-8180
Provider Business Practice Location Address
First Line : 16440 NW 59TH AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-5602
Country : US
Telephone Number : 786-536-7561
Fax Number : 305-437-8180
Authorized Official
Title or Position : PRESIDENT
Name : BRANDY GUZMAN
Credential :
Telephone Number : 305-587-6748
Provider Enumeration Date : 02/24/2016
Last Update Date : 12/25/2025

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Directions to “BEHAVIOR SUPPORT CENTER OF FLORIDA INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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