| Wallmart Properties Llc | |
|
2905 Nw 130th Ave Apt 208 Sunrise FL 33323-3047 | |
| (786) 356-2639 | |
| Not Available |
| Full Name | Wallmart Properties Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2905 Nw 130th Ave Apt 208, Sunrise, Florida |
| Authorized Official Name and Position | Richard A Pena (MANAGER) |
| Authorized Official Contact | 7863562639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallmart Properties Llc 2905 Nw 130th Ave Apt 208 Sunrise FL 33323-3047 Ph: (786) 356-2639 | Wallmart Properties Llc 2905 Nw 130th Ave Apt 208 Sunrise FL 33323-3047 Ph: (786) 356-2639 |
| NPI Number | 1033824446 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033824446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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