| Acsi Community Behavioral Center, Llc. | |
|
3113 Stirling Rd Ste 204 Fort Lauderdale FL 33312-6547 | |
| (954) 842-3501 | |
| (954) 206-0906 |
| Full Name | Acsi Community Behavioral Center, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3113 Stirling Rd Ste 204, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Yanet Rodriguez Jimenez (CEO) |
| Authorized Official Contact | 9548423501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acsi Community Behavioral Center, Llc. 3113 Stirling Rd Ste 204 Fort Lauderdale FL 33312-6547 Ph: (954) 842-3501 | Acsi Community Behavioral Center, Llc. 3113 Stirling Rd Ste 204 Fort Lauderdale FL 33312-6547 Ph: (954) 842-3501 |
| NPI Number | 1013424266 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013424266 | NPI | - | NPPES |
| 021204200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | MH8867 (Florida) | Primary |
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