| Equanimity Behavioral Services Co | |
|
14359 Miramar Pkwy Suite 504 Miramar FL 33027 | |
| (650) 213-2283 | |
| Not Available |
| Full Name | Equanimity Behavioral Services Co |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14359 Miramar Pkwy, Miramar, Florida |
| Authorized Official Name and Position | Kelly Dayana Negron (PRESIDENT) |
| Authorized Official Contact | 6502132283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equanimity Behavioral Services Co 14359 Miramar Pkwy Ste 504 Miramar FL 33027-4134 Ph: (650) 213-2283 | Equanimity Behavioral Services Co 14359 Miramar Pkwy Suite 504 Miramar FL 33027 Ph: (650) 213-2283 |
| NPI Number | 1922527613 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922527613 | NPI | - | NPPES |
| 024772100 | Medicaid | FL |
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