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Organization
KENDALL BEHAVIOR THERAPY
Active
Organization
KENDALL BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR P GONZALEZ BCABA (CEO)
(786) 701-8164
Entity
Organization
Contact information
Practice address
12150 SW 128TH CT, SUITE 222, MIAMI, FL 33186-4647
(786) 701-8164
(786) 701-3975
Mailing address
12150 SW 128TH CT, SUITE 222, MIAMI, FL 33186-4647
(786) 701-8164
(786) 701-3975
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT 1614407
FL
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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