| Dynamic Behavioral Consulting | |
|
1975 E Sunrise Blvd Suite 532 Ft Lauderdale FL 33304-1433 | |
| (954) 232-7092 | |
| (954) 208-3400 |
| Full Name | Dynamic Behavioral Consulting |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1975 E Sunrise Blvd, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Royce N Jalazo (PRESIDENT) |
| Authorized Official Contact | 9542327092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Behavioral Consulting 1975 E Sunrise Blvd Suite 532 Ft Lauderdale FL 33304-1433 Ph: (954) 232-7092 | Dynamic Behavioral Consulting 1975 E Sunrise Blvd Suite 532 Ft Lauderdale FL 33304-1433 Ph: (954) 232-7092 |
| NPI Number | 1639496664 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639496664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7671 (Florida) | Primary |
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