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Organization
MY KID THERAPY CENTER
Active
Organization
MY KID THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETTEL CASTILLO (PRESIDENT)
(786) 349-4700
Entity
Organization
Contact information
Practice address
14425 COUNTRY WALK DR, MIAMI, FL 33186-8103
(786) 349-4700
Mailing address
14425 COUNTRY WALK DR, MIAMI, FL 33186-8103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017427602
—
FL
Enumeration date
04/14/2017
Last updated
02/23/2023
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