| Tacoronte Therapy Services Llc | |
|
7108 Sw 103rd Pl Miami FL 33173-1377 | |
| (305) 930-9811 | |
| Not Available |
| Full Name | Tacoronte Therapy Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7108 Sw 103rd Pl, Miami, Florida |
| Authorized Official Name and Position | Anet Martinez Tacoronte (PRESIDENT) |
| Authorized Official Contact | 3059309811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tacoronte Therapy Services Llc 7108 Sw 103rd Pl Miami FL 33173-1377 Ph: (305) 930-9811 | Tacoronte Therapy Services Llc 7108 Sw 103rd Pl Miami FL 33173-1377 Ph: (305) 930-9811 |
| NPI Number | 1184372849 |
|---|---|
| Provider Enumeration Date | 03/12/2022 |
| Last Update Date | 03/12/2022 |
| Certification Date | 03/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184372849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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