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Organization
HOMESTEAD BEHAVIORAL CLINIC, INC.
Active
Organization
HOMESTEAD BEHAVIORAL CLINIC, INC.
Active
Other names
Homestead Behavioral Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AIDELYN LOPEZ (CEO)
(305) 248-3488
Entity
Organization
Contact information
Practice address
413 FERGUSON DR, ORLANDO, FL 32805-1009
(305) 248-3488
(305) 248-6558
Mailing address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
(305) 248-6558
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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