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Organization

BEHAVIOR TRACK

Active
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Organization

BEHAVIOR TRACK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATIANA HERNANDEZ (BEHAVIOR TECHNICIAN)
(787) 669-0427
Entity
Organization

Contact information

Practice address
9215 SW 138TH PL, MIAMI, FL 33186-1276
(787) 669-0427
Mailing address
9215 SW 138TH PL, MIAMI, FL 33186-1276

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/13/2017
Last updated
02/21/2017
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