Provider Demographics
NPI:1205100997
Name:AL BEHAVIORAL CONSULTING LLC
Entity type:Organization
Organization Name:AL BEHAVIORAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:305-322-1651
Mailing Address - Street 1:3265 VIRGINIA ST
Mailing Address - Street 2:SUITE 20
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5240
Mailing Address - Country:US
Mailing Address - Phone:305-322-1651
Mailing Address - Fax:786-429-0462
Practice Address - Street 1:3265 VIRGINIA ST
Practice Address - Street 2:SUITE 20
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-5240
Practice Address - Country:US
Practice Address - Phone:305-322-1651
Practice Address - Fax:786-429-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-28
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
252Y00000X
FL1-10-7842251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty