Excellence Behavioral Services Llc | |
6405 Nw 36th St Ste 100 Virginia Gardens FL 33166-6977 | |
(786) 953-8500 | |
Not Available |
Full Name | Excellence Behavioral Services Llc |
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Speciality | Behavior Analyst |
Location | 6405 Nw 36th St Ste 100, Virginia Gardens, Florida |
Authorized Official Name and Position | Maria Emeric (HUMAN RESOURCES) |
Authorized Official Contact | 7869538500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Excellence Behavioral Services Llc 6405 Nw 36th St Ste 100 Virginia Gardens FL 33166-6977 Ph: (786) 953-8500 | Excellence Behavioral Services Llc 6405 Nw 36th St Ste 100 Virginia Gardens FL 33166-6977 Ph: (786) 953-8500 |
NPI Number | 1043722416 |
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Provider Enumeration Date | 10/25/2017 |
Last Update Date | 04/07/2022 |
Certification Date | 04/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043722416 | NPI | - | NPPES |
022090300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (Florida) | Primary |
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