| Jodie Love Bcba Llc | |
|
4674 Santa Cruz Way Davie FL 33314-4484 | |
| (786) 865-8166 | |
| Not Available |
| Full Name | Jodie Love Bcba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4674 Santa Cruz Way, Davie, Florida |
| Authorized Official Name and Position | Jodie Love (OWNER) |
| Authorized Official Contact | 7868658166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodie Love Bcba Llc 4674 Santa Cruz Way Davie FL 33314-4484 Ph: (786) 865-8166 | Jodie Love Bcba Llc 4674 Santa Cruz Way Davie FL 33314-4484 Ph: (786) 865-8166 |
| NPI Number | 1629735428 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629735428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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