| One On One Behavioral Services Llc | |
|
12973 Sw 112 St #151 Miami FL 33186-5826 | |
| (786) 558-6133 | |
| (786) 228-2555 |
| Full Name | One On One Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12973 Sw 112 St #151, Miami, Florida |
| Authorized Official Name and Position | Jeanne Luis (PRESIDENT) |
| Authorized Official Contact | 3052047037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One On One Behavioral Services Llc 12973 Sw 112 St #151 Miami FL 33186-4768 Ph: (786) 558-6133 | One On One Behavioral Services Llc 12973 Sw 112 St #151 Miami FL 33186-5826 Ph: (786) 558-6133 |
| NPI Number | 1295297406 |
|---|---|
| Provider Enumeration Date | 04/05/2019 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295297406 | NPI | - | NPPES |
| 018395600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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