Provider Demographics
NPI:1962265827
Name:VARGAS BEHAVIOR LLC
Entity type:Organization
Organization Name:VARGAS BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-814-7853
Mailing Address - Street 1:3231 NW 176TH TER # J
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-3942
Mailing Address - Country:US
Mailing Address - Phone:786-818-7853
Mailing Address - Fax:
Practice Address - Street 1:3231 NW 176TH TER # J
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-3942
Practice Address - Country:US
Practice Address - Phone:786-818-7853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health