| Behavioral For Kids Corp | |
|
5729 Nw 151st St Ste B Miami Lakes FL 33014-2481 | |
| (786) 360-2655 | |
| Not Available |
| Full Name | Behavioral For Kids Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5729 Nw 151st St Ste B, Miami Lakes, Florida |
| Authorized Official Name and Position | Marlen Rodriguez (OWNER/PRESIDENT) |
| Authorized Official Contact | 7867156243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral For Kids Corp 6332 Gage Pl Miami Lakes FL 33014-2314 Ph: (786) 715-6243 | Behavioral For Kids Corp 5729 Nw 151st St Ste B Miami Lakes FL 33014-2481 Ph: (786) 360-2655 |
| NPI Number | 1376072769 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Medicare PECOS PAC ID | 7416364039 |
|---|---|
| Medicare Enrollment ID | O20210327000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376072769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Gilberto Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083690366 PECOS PAC ID: 8729981071 Enrollment ID: I20040202000695 |
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