Provider Demographics
NPI:1588372056
Name:BETTER PERFORMANCE THERAPEUTICS, LLC
Entity type:Organization
Organization Name:BETTER PERFORMANCE THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZO TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-414-5468
Mailing Address - Street 1:591 NW 99TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4042
Mailing Address - Country:US
Mailing Address - Phone:786-414-5468
Mailing Address - Fax:305-489-7795
Practice Address - Street 1:17591 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-5435
Practice Address - Country:US
Practice Address - Phone:786-414-5468
Practice Address - Fax:305-489-7795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty