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Organization
HEALING THERAPEUTIC PRACTICE, LLC
Active
Organization
HEALING THERAPEUTIC PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JINELL NELLIE GONZALEZ BCBA, LMHC (CEO)
(305) 788-2491
Entity
Organization
Contact information
Practice address
15250 SW 154TH AVE, MIAMI, FL 33187-5437
(305) 788-2491
Mailing address
15250 SW 154TH AVE, MIAMI, FL 33187-5437
(305) 788-2491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
04/09/2023
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