| Neurobehavioral Institute Llc | |
|
5441 N University Dr Ste 101 Coral Springs FL 33067-4640 | |
| (954) 803-9002 | |
| (954) 933-2305 |
| Full Name | Neurobehavioral Institute Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5441 N University Dr Ste 101, Coral Springs, Florida |
| Authorized Official Name and Position | Marilyn Colantuno (ADMIN) |
| Authorized Official Contact | 9548039002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Institute Llc 5441 N University Dr Ste 101 Coral Springs FL 33067-4640 Ph: (954) 803-9002 | Neurobehavioral Institute Llc 5441 N University Dr Ste 101 Coral Springs FL 33067-4640 Ph: (954) 803-9002 |
| NPI Number | 1003424730 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Medicare PECOS PAC ID | 3173941838 |
|---|---|
| Medicare Enrollment ID | O20200911000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003424730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Michael J Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063898773 PECOS PAC ID: 9638466006 Enrollment ID: I20160928002540 |
| Provider Name | Gesenia Sloan-pena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437380490 PECOS PAC ID: 7911263165 Enrollment ID: I20171104000173 |
| Provider Name | Tatiana Sade Hylton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114576303 PECOS PAC ID: 4284966433 Enrollment ID: I20191022000140 |
| Provider Name | Elia Enid Villalobos Soto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336636489 PECOS PAC ID: 7315366820 Enrollment ID: I20201002000972 |
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