| Kidsrus Behavioral Therapy Llc | |
|
3905 E Lake Pl Miramar FL 33023-4937 | |
| (786) 501-1153 | |
| (954) 589-1202 |
| Full Name | Kidsrus Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3905 E Lake Pl, Miramar, Florida |
| Authorized Official Name and Position | Jennifer Mayor (BEHAVIOR ANALYSTS) |
| Authorized Official Contact | 7865011153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidsrus Behavioral Therapy Llc 3910 Nw 12th Ter Miami FL 33126-2621 Ph: () - | Kidsrus Behavioral Therapy Llc 3905 E Lake Pl Miramar FL 33023-4937 Ph: (786) 501-1153 |
| NPI Number | 1457084071 |
|---|---|
| Provider Enumeration Date | 07/01/2022 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457084071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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