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Organization
MY COMMUNITY SUPPORT SERVICES, LLC
Active
Organization
MY COMMUNITY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYLIN GOMEZ (PRESIDENT)
(786) 732-2139
Entity
Organization
Contact information
Practice address
13000 SW 133RD CT UNIT 1, MIAMI, FL 33186-5855
(786) 732-2139
(786) 732-2598
Mailing address
13000 SW 133RD CT UNIT 1, MIAMI, FL 33186-5855
(786) 732-2139
(786) 732-2598
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/16/2016
Last updated
09/21/2023
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