Provider Demographics
NPI:1316684277
Name:CAAN BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:CAAN BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ LEDESMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-853-7738
Mailing Address - Street 1:22731 SW 88TH PL UNIT 203
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-2025
Mailing Address - Country:US
Mailing Address - Phone:786-543-6463
Mailing Address - Fax:
Practice Address - Street 1:22731 SW 88TH PL UNIT 203
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-2025
Practice Address - Country:US
Practice Address - Phone:786-543-6463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty