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Organization
NOVA SOUTHEASTERN UNIVERSITY
Active
Organization
NOVA SOUTHEASTERN UNIVERSITY
Active
Other names
NSU Severe Behavior Disorders Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S. OLLER D.O. (CEO/DIVISION OF CLINICAL OPERATIONS)
(954) 262-4399
Entity
Organization
Contact information
Practice address
3526 S UNIVERSITY DR, DAVIE, FL 33328-2002
(954) 262-5730
(954) 262-3855
Mailing address
PO BOX 290250, DAVIE, FL 33329-0250
(954) 262-4334
(954) 262-3882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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