| Th Vega Behavioral Corp | |
|
100 Ne 15th St Ste 101a Homestead FL 33030-4564 | |
| (305) 764-8241 | |
| Not Available |
| Full Name | Th Vega Behavioral Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 100 Ne 15th St Ste 101a, Homestead, Florida |
| Authorized Official Name and Position | Diana Hernandez De La Guardia (ADMINISTRATOR) |
| Authorized Official Contact | 3057648241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Th Vega Behavioral Corp 10876 Sw 229th St Miami FL 33170-7517 Ph: (786) 370-2216 | Th Vega Behavioral Corp 100 Ne 15th St Ste 101a Homestead FL 33030-4564 Ph: (305) 764-8241 |
| NPI Number | 1548978059 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548978059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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