Provider Demographics
NPI:1356996045
Name:TEAM BEHAVIOR LLC
Entity type:Organization
Organization Name:TEAM BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMADRID
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-445-3334
Mailing Address - Street 1:417 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5311
Mailing Address - Country:US
Mailing Address - Phone:786-445-3334
Mailing Address - Fax:561-448-6063
Practice Address - Street 1:4793 N CONGRESS AVE STE 203
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7937
Practice Address - Country:US
Practice Address - Phone:561-722-9107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty