| Ethos Behavioral Therapy Llc | |
|
14214 Sw 163rd Ter Miami FL 33177-1809 | |
| (786) 307-9745 | |
| Not Available |
| Full Name | Ethos Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14214 Sw 163rd Ter, Miami, Florida |
| Authorized Official Name and Position | Diana Elaine Rubio Suarez (OWNER) |
| Authorized Official Contact | 7863079745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Behavioral Therapy Llc 14214 Sw 163rd Ter Miami FL 33177-1809 Ph: () - | Ethos Behavioral Therapy Llc 14214 Sw 163rd Ter Miami FL 33177-1809 Ph: (786) 307-9745 |
| NPI Number | 1144935305 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144935305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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