| Vista Behavior Service Llc | |
|
13501 Sw 136th St Ste 212 Miami FL 33186-8321 | |
| (786) 592-2004 | |
| (786) 480-0093 |
| Full Name | Vista Behavior Service Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13501 Sw 136th St Ste 212, Miami, Florida |
| Authorized Official Name and Position | Dianelys Perez (OWNER) |
| Authorized Official Contact | 7865922004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Behavior Service Llc 13501 Sw 136th St Ste 212 Miami FL 33186-8321 Ph: (786) 592-2004 | Vista Behavior Service Llc 13501 Sw 136th St Ste 212 Miami FL 33186-8321 Ph: (786) 592-2004 |
| NPI Number | 1609303775 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609303775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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