| Metamorphosis Aba Therapy Llc | |
|
11455 W Flagler St Apt 417 Miami FL 33174-4014 | |
| (786) 308-6757 | |
| (305) 675-2929 |
| Full Name | Metamorphosis Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11455 W Flagler St Apt 417, Miami, Florida |
| Authorized Official Name and Position | Krystal Conde (OWNER) |
| Authorized Official Contact | 7863086757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Aba Therapy Llc 11455 W Flagler St Apt 417 Miami FL 33174-4014 Ph: (786) 308-6757 | Metamorphosis Aba Therapy Llc 11455 W Flagler St Apt 417 Miami FL 33174-4014 Ph: (786) 308-6757 |
| NPI Number | 1679295232 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679295232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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