| Homestead Behavioral Care Corp | |
|
2500 Nw 79th Ave Ste 290 Doral FL 33122-1090 | |
| (786) 803-8488 | |
| Not Available |
| Full Name | Homestead Behavioral Care Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2500 Nw 79th Ave Ste 290, Doral, Florida |
| Authorized Official Name and Position | Damian Oliveros (OWNER) |
| Authorized Official Contact | 3052833025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Behavioral Care Corp 2500 Nw 79th Ave Ste 290 Doral FL 33122-1090 Ph: (786) 803-8488 | Homestead Behavioral Care Corp 2500 Nw 79th Ave Ste 290 Doral FL 33122-1090 Ph: (786) 803-8488 |
| NPI Number | 1801602594 |
|---|---|
| Provider Enumeration Date | 12/06/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801602594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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