| |
30908 Sw 192nd Ave Homestead FL 33030-3720 | |
(786) 617-4406 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 30908 Sw 192nd Ave, Homestead, Florida |
Authorized Official Name and Position | Yamila Tatte Herrera (PRESIDENT) |
Authorized Official Contact | 7866174406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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30908 Sw 192nd Ave Homestead FL 33030-3720 Ph: (786) 617-4406 | 30908 Sw 192nd Ave Homestead FL 33030-3720 Ph: (786) 617-4406 |
NPI Number | 1316663156 |
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Provider Enumeration Date | 10/13/2022 |
Last Update Date | 05/16/2024 |
Certification Date | 05/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316663156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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