| Sunshine Community & Behavior Services Corp | |
|
33550 S Dixie Hwy Ste 106 Florida City FL 33034-5651 | |
| (786) 601-7689 | |
| Not Available |
| Full Name | Sunshine Community & Behavior Services Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 33550 S Dixie Hwy Ste 106, Florida City, Florida |
| Authorized Official Name and Position | Otto Marquez Mendoza (OWNER) |
| Authorized Official Contact | 3054311376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Community & Behavior Services Corp 33550 S Dixie Hwy Ste 106 Florida City FL 33034-5651 Ph: () - | Sunshine Community & Behavior Services Corp 33550 S Dixie Hwy Ste 106 Florida City FL 33034-5651 Ph: (786) 601-7689 |
| NPI Number | 1962110619 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962110619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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