| Advanced Behavioral Consults, Llc | |
|
431 Sw 147th Ave Pembroke Pines FL 33027-6101 | |
| (305) 335-4117 | |
| Not Available |
| Full Name | Advanced Behavioral Consults, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 431 Sw 147th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Afia Tyson (MANAGING OWNER) |
| Authorized Official Contact | 3053354117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Consults, Llc 3350 Sw 148th Ave Ste 110 Miramar FL 33027-3237 Ph: (305) 335-4117 | Advanced Behavioral Consults, Llc 431 Sw 147th Ave Pembroke Pines FL 33027-6101 Ph: (305) 335-4117 |
| NPI Number | 1326734054 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 7416315346 |
|---|---|
| Medicare Enrollment ID | O20230623002840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326734054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Afia Tyson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225451321 PECOS PAC ID: 2062869464 Enrollment ID: I20231205000537 |
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