| Childrens Behavioral Rehab Llc | |
|
3020 Lee Blvd Ste 10 Lehigh Acres FL 33971-2438 | |
| (786) 499-5497 | |
| Not Available |
| Full Name | Childrens Behavioral Rehab Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3020 Lee Blvd Ste 10, Lehigh Acres, Florida |
| Authorized Official Name and Position | Yoleidis Gonzalez (OWNER) |
| Authorized Official Contact | 7864995497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Behavioral Rehab Llc 4143 Sw 74th Ct Ste B Miami FL 33155-4467 Ph: (786) 499-5497 | Childrens Behavioral Rehab Llc 3020 Lee Blvd Ste 10 Lehigh Acres FL 33971-2438 Ph: (786) 499-5497 |
| NPI Number | 1891463378 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891463378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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