Provider Demographics
NPI:1962151761
Name:BEE-HAVIOR PROFESSIONAL GROUP INC
Entity type:Organization
Organization Name:BEE-HAVIOR PROFESSIONAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-788-2488
Mailing Address - Street 1:625 COMMERCE DR STE 106
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2733
Mailing Address - Country:US
Mailing Address - Phone:305-788-2488
Mailing Address - Fax:
Practice Address - Street 1:625 COMMERCE DR STE 106
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2733
Practice Address - Country:US
Practice Address - Phone:305-788-2488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty