| Advance Behavioral Center Llc | |
|
11490 Quail Roost Dr Miami FL 33157-6575 | |
| (305) 964-7497 | |
| Not Available |
| Full Name | Advance Behavioral Center Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 11490 Quail Roost Dr, Miami, Florida |
| Authorized Official Name and Position | Sonia Teresa Cisneros Vazquez (PRESIDENT) |
| Authorized Official Contact | 0596474973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Behavioral Center Llc 11490 Quail Roost Dr Miami FL 33157-6575 Ph: (305) 964-7497 | Advance Behavioral Center Llc 11490 Quail Roost Dr Miami FL 33157-6575 Ph: (305) 964-7497 |
| NPI Number | 1215491832 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215491832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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