Provider Demographics
NPI:1063144665
Name:A NEW BEGINNING BEHAVIORAL THERAPY INC
Entity type:Organization
Organization Name:A NEW BEGINNING BEHAVIORAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:TERESITA
Authorized Official - Middle Name:SOFIA
Authorized Official - Last Name:GOMEZ LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-331-9355
Mailing Address - Street 1:1666 79TH STREET CSWY STE 400
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4189
Mailing Address - Country:US
Mailing Address - Phone:305-331-9355
Mailing Address - Fax:
Practice Address - Street 1:1666 79TH STREET CSWY STE 400
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4189
Practice Address - Country:US
Practice Address - Phone:305-331-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty