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Organization
EDYE RBT SERVICE LLC
Active
Organization
EDYE RBT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YRAIDA COLLAZO (PRESIDENT)
(305) 439-7521
Entity
Organization
Contact information
Practice address
810 NE 143RD ST, NORTH MIAMI, FL 33161-2330
(305) 439-7521
Mailing address
810 NE 143RD ST, NORTH MIAMI, FL 33161-2330
(130) 543-9752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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