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116 Bates Ave Sw Winter Haven FL 33880-2953 | |
| (727) 265-5394 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 116 Bates Ave Sw, Winter Haven, Florida |
| Authorized Official Name and Position | Itzel Arteaga (OWNER) |
| Authorized Official Contact | 7272655394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
305 Avenue K Se Winter Haven FL 33880-4124 Ph: (727) 265-5394 | 116 Bates Ave Sw Winter Haven FL 33880-2953 Ph: (727) 265-5394 |
| NPI Number | 1902371792 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902371792 | NPI | - | NPPES |
| 1811319759 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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