| Angels Of Life Therapy Inc | |
|
5785a Nw 151st St Miami Lakes FL 33014-2490 | |
| (786) 817-3599 | |
| (786) 360-3166 |
| Full Name | Angels Of Life Therapy Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5785a Nw 151st St, Miami Lakes, Florida |
| Authorized Official Name and Position | Yasset Dominguez Leon (PRESIDENT) |
| Authorized Official Contact | 7866719239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels Of Life Therapy Inc 5785a Nw 151st St Miami Lakes FL 33014-2490 Ph: (786) 817-3599 | Angels Of Life Therapy Inc 5785a Nw 151st St Miami Lakes FL 33014-2490 Ph: (786) 817-3599 |
| NPI Number | 1528829058 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528829058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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