Organization Active NPI

Bio-Behavioral Corp.

Doing business as Go 2 Help Network

  • Behavior Analyst
  • Tamarac, FL
National Provider Identifier
1154012250
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BIO-BEHAVIORAL CORP.
Doing business as
Go 2 Help Network
Practice address
8976 Lancaster St
Tamarac, FL 33321-4115
Phone
(786) 601-2608
Fax
(305) 647-0250
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samir Gustavo Jerez, MA, LMHC, QSNPI 1912916289
Title
LMHC, Behavior Analyst, Ceo
Phone
(786) 601-2608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8976 Lancaster St
Tamarac, FL 33321-4115

Mailing address

PO Box 700731
Miami, FL 33170-0731
Phone (786) 601-2608

Other identifiers 1

IdentifierTypeStateIssuer
020425300MedicaidFL

Other names 1

  • Go 2 Help Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bio-Behavioral Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1154012250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700731",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331700731",
            "telephone_number": "786-601-2608",
            "fax_number": "305-647-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8976 LANCASTER ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214115",
            "telephone_number": "786-601-2608",
            "fax_number": "305-647-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-BEHAVIORAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "JEREZ",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "LMHC, BEHAVIOR ANALYST, CEO",
        "authorized_official_telephone_number": "786-601-2608",
        "authorized_official_credential": "MA, LMHC, QS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020425300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Go 2 Help Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.