Provider Demographics
NPI:1972355725
Name:SUAREZ BEHAVIOR SERVICES LLC
Entity type:Organization
Organization Name:SUAREZ BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:YENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-961-2715
Mailing Address - Street 1:225 NE 23RD ST APT 1205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4037
Mailing Address - Country:US
Mailing Address - Phone:786-961-2715
Mailing Address - Fax:
Practice Address - Street 1:99 NW 183RD ST STE 241E
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4551
Practice Address - Country:US
Practice Address - Phone:786-961-2715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty