Therapeutic Behavioral Assessment | |
8200 Sw 117th Ave Suite 306 Miami FL 33183-3856 | |
(305) 274-0640 | |
(305) 274-0630 |
Full Name | Therapeutic Behavioral Assessment |
---|---|
Speciality | Community/Behavioral Health |
Location | 8200 Sw 117th Ave, Miami, Florida |
Authorized Official Name and Position | Harry Damus (PSYCHOLOGIST) |
Authorized Official Contact | 3052740640 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Therapeutic Behavioral Assessment 8200 Sw 117th Ave Suite 306 Miami FL 33183-3856 Ph: (305) 274-0640 | Therapeutic Behavioral Assessment 8200 Sw 117th Ave Suite 306 Miami FL 33183-3856 Ph: (305) 274-0640 |
NPI Number | 1366683310 |
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Provider Enumeration Date | 03/19/2009 |
Last Update Date | 04/16/2014 |
Medicare PECOS PAC ID | 7214080811 |
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Medicare Enrollment ID | O20090729000739 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366683310 | NPI | - | NPPES |
004477900 | Medicaid | FL | |
687253196 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | PY 7870 (Florida) | Primary |
Provider Name | Harry Damus |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992935019 PECOS PAC ID: 5597818195 Enrollment ID: I20090729000730 |
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