Provider Demographics
NPI:1063124386
Name:BEHAVE WELL SOLUTIONS INC
Entity type:Organization
Organization Name:BEHAVE WELL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REINEL
Authorized Official - Middle Name:
Authorized Official - Last Name:USTARIZ CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-310-9560
Mailing Address - Street 1:14258 SW 165TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1833
Mailing Address - Country:US
Mailing Address - Phone:786-310-9560
Mailing Address - Fax:
Practice Address - Street 1:14258 SW 165TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1833
Practice Address - Country:US
Practice Address - Phone:786-310-9560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty