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307 Calle Eleonor Roosevelt San Juan PR 00918-2720 | |
| (787) 754-0872 | |
| (787) 758-9690 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 307 Calle Eleonor Roosevelt, San Juan, Puerto Rico |
| Authorized Official Name and Position | Michel A Woodbury (PRESIDENT) |
| Authorized Official Contact | 7872261899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
307 Calle Eleonor Roosevelt San Juan PR 00918-2720 Ph: (787) 754-0872 | 307 Calle Eleonor Roosevelt San Juan PR 00918-2720 Ph: (787) 754-0872 |
| NPI Number | 1215354907 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215354907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 6363 (Puerto Rico) | Primary |
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