Provider Demographics
NPI:1609628528
Name:L&I BEHAVIOR THERAPY AND SPEAKS CORP
Entity type:Organization
Organization Name:L&I BEHAVIOR THERAPY AND SPEAKS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:VIRGINI
Authorized Official - Last Name:SIVERIO CAMPOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-713-0455
Mailing Address - Street 1:99 NW 183RD ST STE 100A
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4518
Mailing Address - Country:US
Mailing Address - Phone:305-713-0455
Mailing Address - Fax:
Practice Address - Street 1:99 NW 183RD ST STE 100A
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4518
Practice Address - Country:US
Practice Address - Phone:305-713-0455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty