| Broward Behavioral Llc | |
|
150 S Pine Island Rd Ste 309 Plantation FL 33324-2669 | |
| (754) 779-0656 | |
| Not Available |
| Full Name | Broward Behavioral Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 150 S Pine Island Rd Ste 309, Plantation, Florida |
| Authorized Official Name and Position | Nimuet Chirino (PRESIDENT) |
| Authorized Official Contact | 9542133082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Behavioral Llc 150 S Pine Island Rd Ste 309 Plantation FL 33324-2669 Ph: (754) 779-0656 | Broward Behavioral Llc 150 S Pine Island Rd Ste 309 Plantation FL 33324-2669 Ph: (754) 779-0656 |
| NPI Number | 1184334898 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184334898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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