| Ksm Behavioral Interventions Llc | |
|
2500 E Hallandale Beach Blvd Ste 508 Hallandale Beach FL 33009-4846 | |
| (786) 970-6385 | |
| (786) 743-6385 |
| Full Name | Ksm Behavioral Interventions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2500 E Hallandale Beach Blvd Ste 508, Hallandale Beach, Florida |
| Authorized Official Name and Position | Mileisy Gonzalez Rodriguez (CEO) |
| Authorized Official Contact | 7869706385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksm Behavioral Interventions Llc 2500 E Hallandale Beach Blvd Ste 508 Hallandale Beach FL 33009-4846 Ph: (786) 970-6385 | Ksm Behavioral Interventions Llc 2500 E Hallandale Beach Blvd Ste 508 Hallandale Beach FL 33009-4846 Ph: (786) 970-6385 |
| NPI Number | 1336965987 |
|---|---|
| Provider Enumeration Date | 11/27/2024 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336965987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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