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Organization
LSR BEHAVIOR THERAPY LLC
Active
Organization
LSR BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALBERTO SIERRA ROQUE (OWNER)
(903) 285-9975
Entity
Organization
Contact information
Practice address
7490 W 14TH AVE, HIALEAH, FL 33014-3406
(903) 285-9975
Mailing address
7490 W 14TH AVE, HIALEAH, FL 33014-3406
(903) 285-9975
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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