| Ivy Behavioral Institute | |
|
5066 Sw 137th Ter Miramar FL 33027-5902 | |
| (954) 295-1167 | |
| Not Available |
| Full Name | Ivy Behavioral Institute |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5066 Sw 137th Ter, Miramar, Florida |
| Authorized Official Name and Position | Faheema Abdool-ghany (EXECUTIVE DIRECTOR/FOUNDER) |
| Authorized Official Contact | 7543008185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Behavioral Institute 5066 Sw 137th Ter Miramar FL 33027-5902 Ph: (954) 295-1167 | Ivy Behavioral Institute 5066 Sw 137th Ter Miramar FL 33027-5902 Ph: (954) 295-1167 |
| NPI Number | 1982214078 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982214078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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