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Organization
SUNRISE ABA BEHAVIOR THERAPY CORP
Active
Organization
SUNRISE ABA BEHAVIOR THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINALDO D DIAZ HERNANDEZ (PRESIDENT)
(954) 330-3384
Entity
Organization
Contact information
Practice address
800 W OAKLAND PARK BLVD STE 211, WILTON MANORS, FL 33311-1733
(954) 330-3384
Mailing address
800 W OAKLAND PARK BLVD STE 211, WILTON MANORS, FL 33311-1733
(954) 330-3384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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