Provider Demographics
NPI:1932090180
Name:INCLUSIVE BEHAVIORAL SOLUTIONS LLC
Entity type:Organization
Organization Name:INCLUSIVE BEHAVIORAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:561-584-0502
Mailing Address - Street 1:2750 N 29TH AVE STE 114A
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1509
Mailing Address - Country:US
Mailing Address - Phone:561-584-0502
Mailing Address - Fax:954-827-0762
Practice Address - Street 1:2750 N 29TH AVE STE 114A
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1509
Practice Address - Country:US
Practice Address - Phone:561-584-0502
Practice Address - Fax:954-827-0762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty