Provider Demographics
NPI:1285413690
Name:LOVE & BEHAVIOR SUPPORT.INC
Entity type:Organization
Organization Name:LOVE & BEHAVIOR SUPPORT.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN SEIJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-965-6207
Mailing Address - Street 1:2791 S FLORIDA MANGO RD APT 114
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2213
Mailing Address - Country:US
Mailing Address - Phone:832-567-7184
Mailing Address - Fax:
Practice Address - Street 1:2791 S FLORIDA MANGO RD APT 114
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-2213
Practice Address - Country:US
Practice Address - Phone:832-567-7184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty