| Ebenezer Behavior Center Llc | |
|
11401 Sw 40th St Ste 326 Miami FL 33165-3300 | |
| (786) 720-8472 | |
| Not Available |
| Full Name | Ebenezer Behavior Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11401 Sw 40th St Ste 326, Miami, Florida |
| Authorized Official Name and Position | Yessika Boada Hung (MGR) |
| Authorized Official Contact | 7867208472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebenezer Behavior Center Llc 14361 Sw 71st Ln Miami FL 33183-2136 Ph: (786) 720-8472 | Ebenezer Behavior Center Llc 11401 Sw 40th St Ste 326 Miami FL 33165-3300 Ph: (786) 720-8472 |
| NPI Number | 1962189035 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 02/25/2025 |
| Certification Date | 02/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962189035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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