| Kiddo's Behavior Therapy Llc | |
|
12001 Sw 128th Ct Ste 203 Miami FL 33186-4666 | |
| (786) 309-2119 | |
| (786) 305-7613 |
| Full Name | Kiddo's Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12001 Sw 128th Ct Ste 203, Miami, Florida |
| Authorized Official Name and Position | Jerlyn Govea (OWNER) |
| Authorized Official Contact | 7863092119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiddo's Behavior Therapy Llc 12001 Sw 128th Ct Ste 203 Miami FL 33186-4666 Ph: (786) 309-2119 | Kiddo's Behavior Therapy Llc 12001 Sw 128th Ct Ste 203 Miami FL 33186-4666 Ph: (786) 309-2119 |
| NPI Number | 1043946544 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043946544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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