Provider Demographics
NPI:1730737438
Name:BESSE BEYRIES, BEATRIZ (REGISTERED BEHAVIOR)
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:BESSE BEYRIES
Suffix:
Gender:F
Credentials:REGISTERED BEHAVIOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6031
Mailing Address - Country:US
Mailing Address - Phone:561-567-8286
Mailing Address - Fax:561-249-6406
Practice Address - Street 1:510 24TH AVE N APT 206
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-6180
Practice Address - Country:US
Practice Address - Phone:561-891-2663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103003200Medicaid