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Organization
MENTAL SMILE LLC
Active
Organization
MENTAL SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYELIN CEBALLO (OWNER)
(786) 269-7528
Entity
Organization
Contact information
Practice address
14966 SW 75TH TER, MIAMI, FL 33193-2395
(786) 269-7528
Mailing address
14966 SW 75TH TER, MIAMI, FL 33193-2395
(786) 269-7528
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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