| Therachoice Inc. | |
|
501 66th St N St Petersburg FL 33710-6939 | |
| (727) 452-1710 | |
| Not Available |
| Full Name | Therachoice Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 501 66th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Elanda Elodiane Diaz (OWNER) |
| Authorized Official Contact | 7274521710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therachoice Inc. 501 66th St N St Petersburg FL 33710-6939 Ph: (727) 452-1710 | Therachoice Inc. 501 66th St N St Petersburg FL 33710-6939 Ph: (727) 452-1710 |
| NPI Number | 1508448002 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508448002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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