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7875 Nw 12th St Ste 118 Doral FL 33126-1815 | |
| (786) 505-4449 | |
| (786) 667-3733 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7875 Nw 12th St Ste 118, Doral, Florida |
| Authorized Official Name and Position | Michelle Castanos (PRESIDENT) |
| Authorized Official Contact | 7868531742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7875 Nw 12th St Ste 118 Doral FL 33126-1815 Ph: (786) 505-4449 | 7875 Nw 12th St Ste 118 Doral FL 33126-1815 Ph: (786) 505-4449 |
| NPI Number | 1740710714 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740710714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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