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Organization
LIAM SUPPORT SERVICES LLC
Active
Organization
LIAM SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA AGRA (PRESIDENT)
(305) 905-6005
Entity
Organization
Contact information
Practice address
12260 SW 8TH ST STE 156, MIAMI, FL 33184-1508
(786) 332-4326
(786) 558-9667
Mailing address
12260 SW 8TH ST STE 156, MIAMI, FL 33184-1508
(786) 332-4326
(786) 558-9667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
10/03/2017
Last updated
03/30/2022
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