| Coach Hp Llc | |
|
21971 Sw 98th Ave Cutler Bay FL 33190-1198 | |
| (702) 606-8494 | |
| Not Available |
| Full Name | Coach Hp Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 21971 Sw 98th Ave, Cutler Bay, Florida |
| Authorized Official Name and Position | Hector Penate (OWNER) |
| Authorized Official Contact | 7026068494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coach Hp Llc 21971 Sw 98th Ave Cutler Bay FL 33190-1198 Ph: () - | Coach Hp Llc 21971 Sw 98th Ave Cutler Bay FL 33190-1198 Ph: (702) 606-8494 |
| NPI Number | 1558079665 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558079665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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