| Kendall Behavior Therapy | |
|
12150 Sw 128th Ct Suite 222 Miami FL 33186-4647 | |
| (786) 701-8164 | |
| (786) 701-3975 |
| Full Name | Kendall Behavior Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12150 Sw 128th Ct, Miami, Florida |
| Authorized Official Name and Position | Hector P Gonzalez (CEO) |
| Authorized Official Contact | 7867018164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Behavior Therapy 12150 Sw 128th Ct Suite 222 Miami FL 33186-4647 Ph: (786) 701-8164 | Kendall Behavior Therapy 12150 Sw 128th Ct Suite 222 Miami FL 33186-4647 Ph: (786) 701-8164 |
| NPI Number | 1245688399 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245688399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | RBT 1614407 (Florida) | Primary |
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