| Neurobehavioral Health Corp. | |
|
12060 Sw 129th Ct Ste 104 Miami FL 33186-4582 | |
| (786) 615-3349 | |
| (786) 615-3299 |
| Full Name | Neurobehavioral Health Corp. |
|---|---|
| Speciality | Psychologist |
| Location | 12060 Sw 129th Ct Ste 104, Miami, Florida |
| Authorized Official Name and Position | Yadely Leon Infante (PRESIDENT) |
| Authorized Official Contact | 7866153349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobehavioral Health Corp. 1562 Sw 144th Ave Miami FL 33184-3271 Ph: (786) 615-3349 | Neurobehavioral Health Corp. 12060 Sw 129th Ct Ste 104 Miami FL 33186-4582 Ph: (786) 615-3349 |
| NPI Number | 1679291140 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 8628453958 |
|---|---|
| Medicare Enrollment ID | O20220922000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679291140 | NPI | - | NPPES |
| Provider Name | Yadely Leon Infante |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396021911 PECOS PAC ID: 6709261035 Enrollment ID: I20220922000562 |
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