| Behavior Change, Llc | |
|
403 Sw 103rd Ave Apt 304 Pembroke Pines FL 33025-1881 | |
| (954) 330-7611 | |
| Not Available |
| Full Name | Behavior Change, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 403 Sw 103rd Ave Apt 304, Pembroke Pines, Florida |
| Authorized Official Name and Position | Shakira Millar (MANAGING MEMBER) |
| Authorized Official Contact | 9543307611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Change, Llc 403 Sw 103rd Ave Apt 304 Pembroke Pines FL 33025-1881 Ph: (954) 330-7611 | Behavior Change, Llc 403 Sw 103rd Ave Apt 304 Pembroke Pines FL 33025-1881 Ph: (954) 330-7611 |
| NPI Number | 1528601069 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528601069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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