| Diana Macchia, Llc | |
|
85 Ne Elderberry Ter Jensen Beach FL 34957-4655 | |
| (914) 494-0628 | |
| Not Available |
| Full Name | Diana Macchia, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 85 Ne Elderberry Ter, Jensen Beach, Florida |
| Authorized Official Name and Position | Diana Macchia (OWNER) |
| Authorized Official Contact | 9144940628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Macchia, Llc 85 Ne Elderberry Ter Jensen Beach FL 34957-4655 Ph: (914) 494-0628 | Diana Macchia, Llc 85 Ne Elderberry Ter Jensen Beach FL 34957-4655 Ph: (914) 494-0628 |
| NPI Number | 1124583216 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 03/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124583216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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