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 |
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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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