# SB COLLABORATIVE PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376420554
- **Authorized official:** MRS. SHIR BENSUSAN MASTERS (MANAGER)
- **Authorized official phone:** (954) 849-5188

## Contact information

- **Practice address:** 20935 NE 37TH CT, AVENTURA, FL 33180-3766
- **Practice address phone:** (954) 849-5188
- **Mailing address:** 20935 NE 37TH CT, AVENTURA, FL 33180-3766
- **Mailing address phone:** (954) 849-5188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2025
- **Last updated:** 08/19/2025
