| Phoenix Behavior Services Aba Llc | |
|
25001 Sw 127th Ave Ste 202 Homestead FL 33032-5834 | |
| (786) 286-1452 | |
| Not Available |
| Full Name | Phoenix Behavior Services Aba Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 25001 Sw 127th Ave Ste 202, Homestead, Florida |
| Authorized Official Name and Position | Daniel Pardo Tarrero (OWNER) |
| Authorized Official Contact | 7862861452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Behavior Services Aba Llc 13220 Sw 271st Ter Homestead FL 33032-8592 Ph: (786) 286-1452 | Phoenix Behavior Services Aba Llc 25001 Sw 127th Ave Ste 202 Homestead FL 33032-5834 Ph: (786) 286-1452 |
| NPI Number | 1477262723 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477262723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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