| Miracle Behavior Corp | |
|
12905 Bird Rd Ste 111 Miami FL 33175-2910 | |
| (786) 558-4091 | |
| (786) 254-7419 |
| Full Name | Miracle Behavior Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12905 Bird Rd Ste 111, Miami, Florida |
| Authorized Official Name and Position | Armando R Gonzalez Diaz (PRESIDENT) |
| Authorized Official Contact | 7865584091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Behavior Corp 12905 Bird Rd Ste 111 Miami FL 33175-2910 Ph: (786) 558-4091 | Miracle Behavior Corp 12905 Bird Rd Ste 111 Miami FL 33175-2910 Ph: (786) 558-4091 |
| NPI Number | 1982125373 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 02/18/2022 |
| Certification Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982125373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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