Provider Demographics
NPI:1578300745
Name:EVECA BEHAVIOR CORP
Entity type:Organization
Organization Name:EVECA BEHAVIOR CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATTYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALVEZ HEREDIA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-200-6231
Mailing Address - Street 1:8552 CLARIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2849
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1490 S MILITARY TRL STE 9
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-9141
Practice Address - Country:US
Practice Address - Phone:561-323-2552
Practice Address - Fax:561-557-9557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EVECA BEHAVIOR CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-13
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty