| Mt Therapy Llc | |
|
5571 Nw 188th St Miami Gardens FL 33055-2337 | |
| (786) 797-2509 | |
| Not Available |
| Full Name | Mt Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5571 Nw 188th St, Miami Gardens, Florida |
| Authorized Official Name and Position | Tania Suvero (DIRECTOR) |
| Authorized Official Contact | 7867972509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Therapy Llc 5571 Nw 188th St Miami Gardens FL 33055-2337 Ph: (786) 797-2509 | Mt Therapy Llc 5571 Nw 188th St Miami Gardens FL 33055-2337 Ph: (786) 797-2509 |
| NPI Number | 1063924298 |
|---|---|
| Provider Enumeration Date | 10/27/2017 |
| Last Update Date | 10/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063924298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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