| Bge Ii Corp | |
|
17971 Biscayne Blvd Ste 110 Aventura FL 33160-2531 | |
| (305) 749-3682 | |
| Not Available |
| Full Name | Bge Ii Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17971 Biscayne Blvd Ste 110, Aventura, Florida |
| Authorized Official Name and Position | Ayo Tillman (PRESIDENT) |
| Authorized Official Contact | 9542921176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bge Ii Corp 401 E Las Olas Blvd # 130-439 Fort Lauderdale FL 33301-2210 Ph: () - | Bge Ii Corp 17971 Biscayne Blvd Ste 110 Aventura FL 33160-2531 Ph: (305) 749-3682 |
| NPI Number | 1023883915 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023883915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
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