Provider Demographics
NPI:1861060113
Name:LEARN & ENJOY BEHAVIOR SERVICES CORPORATION
Entity type:Organization
Organization Name:LEARN & ENJOY BEHAVIOR SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HOVARI
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:MONTADA OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:BCABA
Authorized Official - Phone:813-531-4021
Mailing Address - Street 1:300 BAYVIEW DR APT 703
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4745
Mailing Address - Country:US
Mailing Address - Phone:813-531-4021
Mailing Address - Fax:
Practice Address - Street 1:518 N TAMPA ST STE 204
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4804
Practice Address - Country:US
Practice Address - Phone:813-270-3865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty