Dream Team Behavioral Inc | |
11595 Kelly Rd # 311 Fort Myers FL 33908-2572 | |
(754) 308-7871 | |
Not Available |
Full Name | Dream Team Behavioral Inc |
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Speciality | Behavior Analyst |
Location | 11595 Kelly Rd # 311, Fort Myers, Florida |
Authorized Official Name and Position | Lismari Fuertes (PRESIDENT) |
Authorized Official Contact | 7543087871 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dream Team Behavioral Inc 11595 Kelly Rd # 311 Fort Myers FL 33908-2572 Ph: (754) 308-7871 | Dream Team Behavioral Inc 11595 Kelly Rd # 311 Fort Myers FL 33908-2572 Ph: (754) 308-7871 |
NPI Number | 1316691827 |
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Provider Enumeration Date | 02/04/2022 |
Last Update Date | 02/04/2022 |
Certification Date | 02/04/2022 |
Identifier | Type | State | Issuer |
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1316691827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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