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Organization
MANAGEMENT LAYR
Active
Organization
MANAGEMENT LAYR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS A. YANCE (DIRECTOR)
(305) 827-7344
Entity
Organization
Contact information
Practice address
6807 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2116
(754) 444-4171
Mailing address
6807 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018654100
—
FL
Enumeration date
09/02/2021
Last updated
09/02/2021
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