| Behavior Krg Service Llc | |
|
850 Burlington St Opa Locka FL 33054-3929 | |
| (786) 486-1211 | |
| Not Available |
| Full Name | Behavior Krg Service Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 850 Burlington St, Opa Locka, Florida |
| Authorized Official Name and Position | Katy Repiso (CEO) |
| Authorized Official Contact | 7864861211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Krg Service Llc 850 Burlington St Opa Locka FL 33054-3929 Ph: (786) 486-1211 | Behavior Krg Service Llc 850 Burlington St Opa Locka FL 33054-3929 Ph: (786) 486-1211 |
| NPI Number | 1194422683 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194422683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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