| Liam Support Services Llc | |
|
12260 Sw 8th St Ste 156 Miami FL 33184-1508 | |
| (786) 332-4326 | |
| (786) 558-9667 |
| Full Name | Liam Support Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12260 Sw 8th St Ste 156, Miami, Florida |
| Authorized Official Name and Position | Martha Agra (PRESIDENT) |
| Authorized Official Contact | 3059056005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liam Support Services Llc 12260 Sw 8th St Ste 156 Miami FL 33184-1508 Ph: (786) 332-4326 | Liam Support Services Llc 12260 Sw 8th St Ste 156 Miami FL 33184-1508 Ph: (786) 332-4326 |
| NPI Number | 1326558438 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326558438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
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