| Florida Kids Therapy Medley Llc | |
|
7911 Nw 72d Ave 215b Medley FL 33166 | |
| (305) 909-9695 | |
| (561) 770-3394 |
| Full Name | Florida Kids Therapy Medley Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7911 Nw 72d Ave, Medley, Florida |
| Authorized Official Name and Position | Heminia Sierra (PRESIDENT) |
| Authorized Official Contact | 3059099685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Kids Therapy Medley Llc 7911 Nw 72nd Ave Suite 215b Medley FL 33166-2227 Ph: (305) 909-9685 | Florida Kids Therapy Medley Llc 7911 Nw 72d Ave 215b Medley FL 33166 Ph: (305) 909-9695 |
| NPI Number | 1982394755 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982394755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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