1St Jpa Behavior Management Clinic Inc

LBN: 1St Jpa Behavior Management Clinic Inc
1St Jpa Behavior Management Clinic Inc is an health care organization with primary practice located at 19001 Sw 106Th Ave Suite C103, Cutler Bay FL 33157-7669. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. 1St Jpa Behavior Management Clinic Inc can be contacted via phone (786) 523-2352, or through Perez, Amarilys via phone (786) 200-7425.

Contact Information

Primary practice address
19001 Sw 106Th Ave Suite C103 Cutler Bay FL 33157-7669
Phone: (786) 523-2352
Fax: (786) 431-4078
Website:
Map and Directions
Authorized official contact:
Name: Perez, Amarilys
Phone: (786) 200-7425

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Florida
Agencies / Case Management 251B00000X Florida
Agencies / Community/Behavioral Health 251S00000X Florida
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Florida

Profile Details

NPI number 1972903524
LBN Legal business name 1St Jpa Behavior Management Clinic Inc
DBA Doing business as
Authorized official Perez, Amarilys
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2014
Last updated Oct 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972903524 NPPES
Florida MEDICAID 014923500
Florida MEDICAID 014923501
Florida MEDICAID 018511200

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