Cobo Home Health Services Corp | |
1570 W 38th Pl Unit 12 Hialeah FL 33012-7041 | |
(786) 615-2514 | |
(786) 637-2914 |
Full Name | Cobo Home Health Services Corp |
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Speciality | Behavior Analyst |
Location | 1570 W 38th Pl Unit 12, Hialeah, Florida |
Authorized Official Name and Position | Cristobal Javier Gonzalez (LMHC) |
Authorized Official Contact | 7866152514 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cobo Home Health Services Corp 1570 W 38th Pl Unit 12 Hialeah FL 33012-7041 Ph: (786) 615-2514 | Cobo Home Health Services Corp 1570 W 38th Pl Unit 12 Hialeah FL 33012-7041 Ph: (786) 615-2514 |
NPI Number | 1598271868 |
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Provider Enumeration Date | 12/21/2017 |
Last Update Date | 08/13/2020 |
Certification Date | 08/13/2020 |
Medicare PECOS PAC ID | 1658797980 |
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Medicare Enrollment ID | O20200818001822 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598271868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Provider Name | Aaron Chen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780043703 PECOS PAC ID: 4284971540 Enrollment ID: I20190124000315 |
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