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Organization
SUNNY SMILES BEHAVIOR CORP
Active
Organization
SUNNY SMILES BEHAVIOR CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERTO DIAZ MIRA (VP)
(479) 420-9849
Entity
Organization
Contact information
Practice address
30410 SEAGRAPE TER STE 2, BIG PINE KEY, FL 33043-3426
(479) 420-9849
Mailing address
13850 SW 71ST LN, MIAMI, FL 33183-2153
(479) 420-9849
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/19/2021
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