Organization
BIO-BEHAVIORAL CORP.
Active
Other names
Go 2 Help Network
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR GUSTAVO JEREZ MA, LMHC, QS (LMHC, BEHAVIOR ANALYST, CEO)
(786) 601-2608
Entity
Organization
Contact information
Practice address
11855 SW 216TH ST, MIAMI, FL 33170-2945
(786) 601-2608
(305) 647-0250
Mailing address
PO BOX 700731, MIAMI, FL 33170-0731
(786) 601-2608
(305) 647-0250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 5950
FL
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020425300
—
FL
Enumeration date
06/20/2006
Last updated
07/05/2023
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