MN BEHAVIOR WAIVER SERVICES NPI 1295690113

NPI Information

  • NPI: 1295690113
  • Provider Name: MN BEHAVIOR WAIVER SERVICES
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 14204 SW 289TH TER
    HOMESTEAD, FL
    ZIP 33033
  • Phone: (786) 367-9290

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NPI Details

MN BEHAVIOR WAIVER SERVICES is a developmental disabilities clinic center in Homestead, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). MN BEHAVIOR WAIVER SERVICES NPI is 1295690113. The provider is registered as an organization entity type.

The provider's business location address is:

14204 SW 289TH TER
HOMESTEAD, FL
ZIP 33033-988
Phone: (786) 367-9290
Fax: (786) 367-9290

The provider's authorized official is Jose Marquetti .
The authorized official title is President and has the following contact phone number (786) 367-9290.

The enumeration date for this NPI number is 12/23/2025 and was last updated on 12/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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