| E & P Behavior Services Llc | |
|
12039 Sw 132nd Ct Unit 4-5 Miami FL 33186-4783 | |
| (786) 227-2966 | |
| Not Available |
| Full Name | E & P Behavior Services Llc |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 12039 Sw 132nd Ct Unit 4-5, Miami, Florida |
| Authorized Official Name and Position | Ernesto Rodriguez Tanquero (PRESIDENT) |
| Authorized Official Contact | 7862272966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E & P Behavior Services Llc 12039 Sw 132nd Ct Unit 4-5 Miami FL 33186-4783 Ph: () - | E & P Behavior Services Llc 12039 Sw 132nd Ct Unit 4-5 Miami FL 33186-4783 Ph: (786) 227-2966 |
| NPI Number | 1861002362 |
|---|---|
| Provider Enumeration Date | 08/09/2020 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861002362 | NPI | - | NPPES |
| 107602700 | Medicaid | FL |
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