| Crystal Angels Behavior Center Inc | |
|
1501 Se 21st Ln Cape Coral FL 33990-4667 | |
| (786) 815-7704 | |
| Not Available |
| Full Name | Crystal Angels Behavior Center Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1501 Se 21st Ln, Cape Coral, Florida |
| Authorized Official Name and Position | Adianys Carrazana Ramirez (PRESIDENT) |
| Authorized Official Contact | 7868157704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Angels Behavior Center Inc 1501 Se 21st Ln Cape Coral FL 33990-4667 Ph: (786) 815-7704 | Crystal Angels Behavior Center Inc 1501 Se 21st Ln Cape Coral FL 33990-4667 Ph: (786) 815-7704 |
| NPI Number | 1316553134 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316553134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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