Organization
NOVA COMMUNITY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ CARIDAD DIAZ GONZALEZ LEAD BCBA (PRESIDENT)
(786) 732-2287
Entity
Organization
Contact information
Practice address
9867 SW 184TH ST, PALMETTO BAY, FL 33157-6934
(786) 732-2287
(786) 732-2288
Mailing address
9867 SW 184TH ST, PALMETTO BAY, FL 33157-6934
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115831500
—
FL
05
—
116151000
—
FL
Enumeration date
12/22/2020
Last updated
03/19/2025
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