| Csi- Behavioral Services, Inc. | |
|
10451 Nw 117th Ave Suite 110 Medley FL 33178-1116 | |
| (305) 821-1262 | |
| (305) 828-8614 |
| Full Name | Csi- Behavioral Services, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10451 Nw 117th Ave, Medley, Florida |
| Authorized Official Name and Position | Alan Soderquist (PRESIDENT AND CEO) |
| Authorized Official Contact | 3058891269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csi- Behavioral Services, Inc. 10451 Nw 117th Ave Suite 110 Medley FL 33178-1116 Ph: (305) 821-1262 | Csi- Behavioral Services, Inc. 10451 Nw 117th Ave Suite 110 Medley FL 33178-1116 Ph: (305) 821-1262 |
| NPI Number | 1912431420 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912431420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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