Gleaming Path Aba Llc | |
9507 Sw 160th St Ste 210 Miami FL 33157-3372 | |
(786) 357-6584 | |
Not Available |
Full Name | Gleaming Path Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 9507 Sw 160th St Ste 210, Miami, Florida |
Authorized Official Name and Position | Ailyn Payan (CEO) |
Authorized Official Contact | 7863576584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gleaming Path Aba Llc 9507 Sw 160th St Ste 210 Miami FL 33157-3372 Ph: () - | Gleaming Path Aba Llc 9507 Sw 160th St Ste 210 Miami FL 33157-3372 Ph: (786) 357-6584 |
NPI Number | 1629814777 |
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Provider Enumeration Date | 07/08/2024 |
Last Update Date | 07/08/2024 |
Certification Date | 07/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629814777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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