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Organization
NEW MIND BEHAVIORAL THERAPY LLC
Active
Organization
NEW MIND BEHAVIORAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN LIDE BCBA (PRESIDENT)
(954) 892-4240
Entity
Organization
Contact information
Practice address
870 QUAYE LAKE CIR APT 111, WELLINGTON, FL 33411-5040
(954) 892-4240
Mailing address
870 QUAYE LAKE CIR APT 111, WELLINGTON, FL 33411-5040
(954) 892-4240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
06/18/2024
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