# ADVANCE BEHAVIORAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215491832
- **Authorized official:** SONIA TERESA CISNEROS VAZQUEZ (PRESIDENT)
- **Authorized official phone:** (059) 647-4973

## Contact information

- **Practice address:** 11490 QUAIL ROOST DR, MIAMI, FL 33157-6575
- **Practice address phone:** (305) 964-7497
- **Mailing address:** 11490 QUAIL ROOST DR, MIAMI, FL 33157-6575
- **Mailing address phone:** (305) 964-7497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2019
- **Last updated:** 01/28/2019