| Beyond Blue Minds | |
|
1470 Nw 107th Ave Ste H Sweetwater FL 33172-2734 | |
| (786) 344-2809 | |
| Not Available |
| Full Name | Beyond Blue Minds |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1470 Nw 107th Ave Ste H, Sweetwater, Florida |
| Authorized Official Name and Position | Olga Lidia Munoz (MGR) |
| Authorized Official Contact | 7863442809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Blue Minds 15621 Sw 10th St Miami FL 33194-2414 Ph: () - | Beyond Blue Minds 1470 Nw 107th Ave Ste H Sweetwater FL 33172-2734 Ph: (786) 344-2809 |
| NPI Number | 1609581230 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609581230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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