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Organization
PEDIATRIC DEVELOPMENT CENTER
Active
Organization
PEDIATRIC DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIME BANEY SLP (VP)
(786) 261-6117
Entity
Organization
Contact information
Practice address
14812 SW 9TH LN, MIAMI, FL 33194-2911
(786) 261-6117
Mailing address
12345 SW 20TH TER, MIAMI, FL 33175-7710
(786) 503-5853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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