| Integrative Methods Llc | |
|
8200 Nw 41st St Doral FL 33166-6205 | |
| (786) 774-7729 | |
| (954) 391-8176 |
| Full Name | Integrative Methods Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8200 Nw 41st St, Doral, Florida |
| Authorized Official Name and Position | Liliana Dietsch-vazquez (OWNER) |
| Authorized Official Contact | 7867747729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Methods Llc Po Box 297883 Pembroke Pines FL 33029-7883 Ph: (786) 774-7729 | Integrative Methods Llc 8200 Nw 41st St Doral FL 33166-6205 Ph: (786) 774-7729 |
| NPI Number | 1992068241 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992068241 | NPI | - | NPPES |
| 017426700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | BACB 1-08-4716 (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | OT 11239 (Florida) | Secondary |
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