Provider Demographics
NPI:1679291140
Name:NEUROBEHAVIORAL HEALTH CORP
Entity type:Organization
Organization Name:NEUROBEHAVIORAL HEALTH CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YADELY
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:INFANTE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMHC, BCBA
Authorized Official - Phone:786-615-3349
Mailing Address - Street 1:1562 SW 144TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3271
Mailing Address - Country:US
Mailing Address - Phone:786-615-3349
Mailing Address - Fax:786-615-3299
Practice Address - Street 1:12060 SW 129TH CT STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4582
Practice Address - Country:US
Practice Address - Phone:786-615-3349
Practice Address - Fax:786-615-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty