| Neuroedge Psychology Llc | |
|
3373 W 90th St Hialeah FL 33018-2005 | |
| (786) 442-5424 | |
| Not Available |
| Full Name | Neuroedge Psychology Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3373 W 90th St, Hialeah, Florida |
| Authorized Official Name and Position | Gendry Montesino (CEO) |
| Authorized Official Contact | 7864425424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroedge Psychology Llc 3373 W 90th St Hialeah FL 33018-2005 Ph: (786) 442-5424 | Neuroedge Psychology Llc 3373 W 90th St Hialeah FL 33018-2005 Ph: (786) 442-5424 |
| NPI Number | 1700403672 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700403672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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