Ada Behavioral Services Llc | |
8500 Sw 92nd St Ste 202 Miami FL 33156-7379 | |
(305) 697-8240 | |
(786) 701-0123 |
Full Name | Ada Behavioral Services Llc |
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Speciality | Behavior Analyst |
Location | 8500 Sw 92nd St Ste 202, Miami, Florida |
Authorized Official Name and Position | Daniela Vega (MGR) |
Authorized Official Contact | 3056978240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ada Behavioral Services Llc 8500 Sw 92nd St Ste 202 Miami FL 33156-7379 Ph: (305) 697-8240 | Ada Behavioral Services Llc 8500 Sw 92nd St Ste 202 Miami FL 33156-7379 Ph: (305) 697-8240 |
NPI Number | 1477261956 |
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Provider Enumeration Date | 11/14/2022 |
Last Update Date | 04/24/2023 |
Certification Date | 04/24/2023 |
Medicare PECOS PAC ID | 4587039219 |
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Medicare Enrollment ID | O20230412000821 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477261956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Provider Name | Dolia Peguero |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114915717 PECOS PAC ID: 9638338593 Enrollment ID: I20120313000033 |
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