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Organization
MAGICAL COCOON BEHAVIOR THERAPY LLC
Active
Organization
MAGICAL COCOON BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JAVIER DIAZ (OWNER)
(786) 226-7902
Entity
Organization
Contact information
Practice address
1422 SE 26TH AVE, HOMESTEAD, FL 33035-2119
(786) 226-7902
Mailing address
1422 SE 26TH AVE, HOMESTEAD, FL 33035-2119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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