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Organization
TINY CHAMPS ABA CORP
Active
Organization
TINY CHAMPS ABA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS IBANEZ (PRESIDENT)
(786) 344-6224
Entity
Organization
Contact information
Practice address
10700 CARIBBEAN BLVD STE 406, CUTLER BAY, FL 33189-1232
(786) 344-6224
Mailing address
10700 CARIBBEAN BLVD STE 406, CUTLER BAY, FL 33189-1232
(786) 344-6224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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