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Organization
SU THERAPY PA
Active
Organization
SU THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J MIRANDA (OWNER)
(954) 295-5526
Entity
Organization
Contact information
Practice address
150 E PALMETTO PARK RD STE 800, BOCA RATON, FL 33432-4833
(954) 295-5526
Mailing address
150 E PALMETTO PARK RD STE 800, BOCA RATON, FL 33432-4833
(954) 295-5526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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