Daesa Behavior Health Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DAESA BEHAVIOR HEALTH INC

Practice address

17325 NW 27TH Ave Ste 111
Miami Gardens, FL 33056-4000

Phone

(786) 955-5744

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Fabio Alberto Marte

Title

President

Phone

(786) 955-5744

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1194379628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 NW 27TH AVE STE 111",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564000",
            "telephone_number": "786-955-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 NW 27TH AVE STE 111",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564000",
            "telephone_number": "786-955-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAESA BEHAVIOR HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "MARTE",
        "authorized_official_first_name": "FABIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-955-5744"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.