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Organization
I ROCK BEHAVIOR LLC
Active
Organization
I ROCK BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALENA S MARTINEZ MS, BCBA (PRESIDENT)
(786) 376-5812
Entity
Organization
Contact information
Practice address
18480 NW 19TH ST, PEMBROKE PINES, FL 33029-3823
(786) 376-5812
Mailing address
18480 NW 19TH ST, PEMBROKE PINES, FL 33029-3823
(786) 376-5812
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
662050
—
FL
Enumeration date
12/20/2017
Last updated
12/20/2017
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