Provider Demographics
NPI:1053185793
Name:BORGES BEHAVIORAL THERAPY
Entity type:Organization
Organization Name:BORGES BEHAVIORAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPY
Authorized Official - Prefix:MS
Authorized Official - First Name:JANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGES ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-839-8447
Mailing Address - Street 1:12470 SW 189TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-3825
Mailing Address - Country:US
Mailing Address - Phone:786-839-8447
Mailing Address - Fax:
Practice Address - Street 1:12470 SW 189TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-3825
Practice Address - Country:US
Practice Address - Phone:786-839-8447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty