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Organization
SOUTHWEST FLORIDA BEHAVIORAL HEALTH L.L.C.
Active
Organization
SOUTHWEST FLORIDA BEHAVIORAL HEALTH L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MANUEL CHICA BCBA (OWNER)
(239) 738-6365
Entity
Organization
Contact information
Practice address
124 SW 31ST ST, CAPE CORAL, FL 33914-4555
(239) 738-6365
Mailing address
124 SW 31ST ST, CAPE CORAL, FL 33914-4555
(239) 738-6365
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
11/15/2022
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