Provider Demographics
NPI:1508448804
Name:UP BEHAVIOR LLC
Entity type:Organization
Organization Name:UP BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-678-5051
Mailing Address - Street 1:4417 SE 16TH PL STE 14
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7471
Mailing Address - Country:US
Mailing Address - Phone:239-306-4537
Mailing Address - Fax:
Practice Address - Street 1:4417 SE 16TH PL STE 14
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7471
Practice Address - Country:US
Practice Address - Phone:239-306-4537
Practice Address - Fax:239-799-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty