| Integrated Behavior Service Inc. | |
|
18751 Nw 89th Pl Hialeah FL 33018-6275 | |
| (305) 213-2845 | |
| (305) 816-0894 |
| Full Name | Integrated Behavior Service Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18751 Nw 89th Pl, Hialeah, Florida |
| Authorized Official Name and Position | Michal Wallace (BCABA) |
| Authorized Official Contact | 3052132845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Behavior Service Inc. 18751 Nw 89th Pl Hialeah FL 33018-6275 Ph: (305) 213-2845 | Integrated Behavior Service Inc. 18751 Nw 89th Pl Hialeah FL 33018-6275 Ph: (305) 213-2845 |
| NPI Number | 1619277720 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619277720 | NPI | - | NPPES |
| 685444396 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0020585 (Florida) | Primary |
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