| Mo Behavior Therapy Llc | |
|
130 S Indian River Dr Ste 237 Fort Pierce FL 34950-4353 | |
| (305) 795-0600 | |
| Not Available |
| Full Name | Mo Behavior Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 S Indian River Dr Ste 237, Fort Pierce, Florida |
| Authorized Official Name and Position | Mauricio Garcia Losada (MGR) |
| Authorized Official Contact | 3057950600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mo Behavior Therapy Llc 130 S Indian River Dr Ste 237 Fort Pierce FL 34950-4353 Ph: (305) 795-0600 | Mo Behavior Therapy Llc 130 S Indian River Dr Ste 237 Fort Pierce FL 34950-4353 Ph: (305) 795-0600 |
| NPI Number | 1457196420 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457196420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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