Angelic Steps Therapy Llc | |
5900 Sw 24th Pl Apt 203 Davie FL 33314-1131 | |
(954) 336-1473 | |
Not Available |
Full Name | Angelic Steps Therapy Llc |
---|---|
Speciality | Behavior Analyst |
Location | 5900 Sw 24th Pl Apt 203, Davie, Florida |
Authorized Official Name and Position | Nicole Brown (CLINICAL DIRECTOR) |
Authorized Official Contact | 9543361473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Angelic Steps Therapy Llc 5900 Sw 24th Pl Apt 203 Davie FL 33314-1131 Ph: (954) 336-1473 | Angelic Steps Therapy Llc 5900 Sw 24th Pl Apt 203 Davie FL 33314-1131 Ph: (954) 336-1473 |
NPI Number | 1902395122 |
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Provider Enumeration Date | 05/02/2018 |
Last Update Date | 05/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902395122 | NPI | - | NPPES |
023524600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-17-28329 (* (Not Available)) | Primary |
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