Provider Demographics
NPI:1346060696
Name:BEHAVIORAL ALTERNATIVES CORP
Entity type:Organization
Organization Name:BEHAVIORAL ALTERNATIVES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:AGUSTIN
Authorized Official - Last Name:DOMINGUEZ SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-642-7008
Mailing Address - Street 1:6801 NW 77TH AVE STE 306B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-2848
Mailing Address - Country:US
Mailing Address - Phone:786-642-7008
Mailing Address - Fax:
Practice Address - Street 1:6801 NW 77TH AVE STE 306B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-2848
Practice Address - Country:US
Practice Address - Phone:786-642-7008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty