Organization
BEHAVIORAL INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LOURDES MARTIN-HIDALGO (AUTHORIZED OFFICAL)
(305) 512-8689
Entity
Organization
Contact information
Practice address
833 SW 29TH AVE STE 123, MIAMI, FL 33135-4551
(786) 590-0150
(786) 536-4060
Mailing address
833 SW 29TH AVE STE 123, MIAMI, FL 33135-4551
(786) 590-0150
(786) 536-4060
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02291160
—
FL
Enumeration date
06/05/2021
Last updated
06/05/2021
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