| Pivotal Therapy, Llc | |
|
7721 Sw 62nd Ave Ste 203 South Miami FL 33143-4907 | |
| (305) 707-1600 | |
| (888) 810-9374 |
| Full Name | Pivotal Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7721 Sw 62nd Ave Ste 203, South Miami, Florida |
| Authorized Official Name and Position | America Conde (OWNER) |
| Authorized Official Contact | 3058786913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Therapy, Llc 7721 Sw 62nd Ave Ste 203 South Miami FL 33143-4907 Ph: (305) 707-1600 | Pivotal Therapy, Llc 7721 Sw 62nd Ave Ste 203 South Miami FL 33143-4907 Ph: (305) 707-1600 |
| NPI Number | 1437860673 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437860673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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