|
| |
|
10200 Nw 25th St Ste 204 Doral FL 33172-5922 | |
| (305) 406-3689 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10200 Nw 25th St Ste 204, Doral, Florida |
| Authorized Official Name and Position | Cesar Edmundo Blumtritt (FOUNDER/PROJECT DIRECTOR) |
| Authorized Official Contact | 3054063689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2475 Nw 95th Ave Suite 1 & 2 Doral FL 33172-2337 Ph: (305) 406-3689 | 10200 Nw 25th St Ste 204 Doral FL 33172-5922 Ph: (305) 406-3689 |
| NPI Number | 1710319652 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710319652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH8888 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | 0051701 (Florida) | Primary |
Behavior Care Of Miami Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8180 Nw 36th St Ste 329, Doral, FL 33166 Phone: 786-399-3513 | |
Kyds Miami Therapy Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nw 79th Ave Ste 256, Doral, FL 33122 Phone: 786-638-0237 | |
Family Community Care And Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7791 Nw 46th St Ste 101, Doral, FL 33166 Phone: 954-394-2447 Fax: 786-364-1461 | |
D.c One Therapy Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3625 Nw 82nd Ave Ste 100i, Doral, FL 33166 Phone: 305-338-5909 | |
Advocate2create, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8250 Nw 27th St, Ste 310, Doral, FL 33122 Phone: 305-482-3366 |