| Pediatric Behavior Therapies, Llc | |
|
10281 N Lake Vista Cir Davie FL 33328-1103 | |
| (408) 250-9627 | |
| Not Available |
| Full Name | Pediatric Behavior Therapies, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10281 N Lake Vista Cir, Davie, Florida |
| Authorized Official Name and Position | Jorge Rodriguez (OWNER) |
| Authorized Official Contact | 4082509627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Behavior Therapies, Llc 10281 N Lake Vista Cir Davie FL 33328-1103 Ph: (408) 250-9627 | Pediatric Behavior Therapies, Llc 10281 N Lake Vista Cir Davie FL 33328-1103 Ph: (408) 250-9627 |
| NPI Number | 1760999551 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 01/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760999551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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