| Targeted Case Management Of Florida Inc | |
|
5881 Nw 151st St Ste 127 Miami Lakes FL 33014-2442 | |
| (786) 905-2262 | |
| (786) 398-5500 |
| Full Name | Targeted Case Management Of Florida Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5881 Nw 151st St Ste 127, Miami Lakes, Florida |
| Authorized Official Name and Position | Noel Fiallo (CEO) |
| Authorized Official Contact | 7869052262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Targeted Case Management Of Florida Inc 5881 Nw 151st St Ste 127 Miami Lakes FL 33014-2442 Ph: (786) 905-2262 | Targeted Case Management Of Florida Inc 5881 Nw 151st St Ste 127 Miami Lakes FL 33014-2442 Ph: (786) 905-2262 |
| NPI Number | 1922708668 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922708668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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