| Ic Behavior Services Inc | |
|
15315 Nw 60th Ave Ste D Miami Lakes FL 33014-2440 | |
| (786) 477-4886 | |
| (305) 847-7704 |
| Full Name | Ic Behavior Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15315 Nw 60th Ave Ste D, Miami Lakes, Florida |
| Authorized Official Name and Position | Iliana Camejo (OWNER/APRN) |
| Authorized Official Contact | 7864774886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ic Behavior Services Inc 15315 Nw 60th Ave Ste D Miami Lakes FL 33014-2440 Ph: (786) 477-4886 | Ic Behavior Services Inc 15315 Nw 60th Ave Ste D Miami Lakes FL 33014-2440 Ph: (786) 477-4886 |
| NPI Number | 1598463267 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598463267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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