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Organization
KIDS ACADEMY THERAPY CENTER CORP
Active
Organization
KIDS ACADEMY THERAPY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM GUTIERREZ (OWNER)
(786) 273-6796
Entity
Organization
Contact information
Practice address
12553 NEW BRITTANY BLVD STE 32, FORT MYERS, FL 33907-3625
(239) 887-4205
(239) 313-6923
Mailing address
12553 NEW BRITTANY BLVD STE 32, FORT MYERS, FL 33907-3625
(239) 887-4205
(239) 313-6923
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
12/11/2020
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