| Nirvana Clinic Center Llc | |
|
8765 Sw 165th Ave Ste 105 Miami FL 33193-5832 | |
| (786) 577-0024 | |
| Not Available |
| Full Name | Nirvana Clinic Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8765 Sw 165th Ave Ste 105, Miami, Florida |
| Authorized Official Name and Position | Daniela Manno (OWNER) |
| Authorized Official Contact | 7865770024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirvana Clinic Center Llc 8765 Sw 165th Ave Ste 105 Miami FL 33193-5832 Ph: (786) 577-0024 | Nirvana Clinic Center Llc 8765 Sw 165th Ave Ste 105 Miami FL 33193-5832 Ph: (786) 577-0024 |
| NPI Number | 1306554936 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/14/2022 |
| Certification Date | 11/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306554936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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