Provider Demographics
NPI:1144649781
Name:L & L BEHAVIOR CONSULTING, LLC
Entity type:Organization
Organization Name:L & L BEHAVIOR CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCABA
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:INCLAN
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:305-227-7082
Mailing Address - Street 1:981 NW 132ND AVE W
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2313
Mailing Address - Country:US
Mailing Address - Phone:305-227-7082
Mailing Address - Fax:
Practice Address - Street 1:981 NW 132ND AVE W
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2313
Practice Address - Country:US
Practice Address - Phone:305-227-7082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0041424251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health