Organization
PSYCHOLOGY AND BEHAVIOR SERVICES
Active
Other names
Frank D Rosa, CBA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK DAVID ROSA PSY.D, BCBA-D (EXECUTIVE DIRECTOR)
(305) 801-8957
Entity
Organization
Contact information
Practice address
4882 NW 4TH TER, MIAMI, FL 33126-2171
(305) 639-3049
(305) 639-3049
Mailing address
11233 NW 50TH TER, DORAL, FL 33178-3543
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
673561496
MEDICAID WAIVER - HOME AND COMMUNITY BASED SERVICES WAIVER
FL
01
—
673561498
MEDICAID WAIVER - FAMILY AND SUPPORTED LIVING WAIVER
FL
Enumeration date
01/04/2011
Last updated
01/04/2011
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