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Organization
ETHOS BEHAVIORAL THERAPY LLC
Active
Organization
ETHOS BEHAVIORAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ELAINE RUBIO SUAREZ (OWNER)
(786) 307-9745
Entity
Organization
Contact information
Practice address
14214 SW 163RD TER, MIAMI, FL 33177-1809
(786) 307-9745
Mailing address
14214 SW 163RD TER, MIAMI, FL 33177-1809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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