Bluebird Behavior Therapy Llc | |
1777 Tamiami Trl Ste 313 Port Charlotte FL 33948-1078 | |
(786) 603-9214 | |
Not Available |
Full Name | Bluebird Behavior Therapy Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1777 Tamiami Trl Ste 313, Port Charlotte, Florida |
Authorized Official Name and Position | Maydara Cabrera (BCBA ANALYST) |
Authorized Official Contact | 7866039214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bluebird Behavior Therapy Llc 1012 Ne 34th Ter Cape Coral FL 33909-6423 Ph: (786) 603-9214 | Bluebird Behavior Therapy Llc 1777 Tamiami Trl Ste 313 Port Charlotte FL 33948-1078 Ph: (786) 603-9214 |
NPI Number | 1326868928 |
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Provider Enumeration Date | 10/16/2024 |
Last Update Date | 10/17/2024 |
Certification Date | 10/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326868928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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