Shooting Star Behavioral Services Llc | |
9555 Sw 175th Ter # 112 Palmetto Bay FL 33157-5604 | |
(786) 873-8973 | |
Not Available |
Full Name | Shooting Star Behavioral Services Llc |
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Speciality | Behavior Analyst |
Location | 9555 Sw 175th Ter # 112, Palmetto Bay, Florida |
Authorized Official Name and Position | Malena Ramos Perez (PRESIDENT) |
Authorized Official Contact | 7868738973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shooting Star Behavioral Services Llc 9555 Sw 175th Ter # 112 Palmetto Bay FL 33157-5604 Ph: (786) 873-8973 | Shooting Star Behavioral Services Llc 9555 Sw 175th Ter # 112 Palmetto Bay FL 33157-5604 Ph: (786) 873-8973 |
NPI Number | 1912695792 |
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Provider Enumeration Date | 04/28/2023 |
Last Update Date | 02/16/2024 |
Certification Date | 02/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912695792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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