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Organization
SHINE BEHAVIOR THERAPY INC
Active
Organization
SHINE BEHAVIOR THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRZA ZALDIVAR BCBA 1-20-42701 (PRESIDENT)
(786) 312-4478
Entity
Organization
Contact information
Practice address
1670 EGRET RD, HOMESTEAD, FL 33035-1080
(786) 312-4478
Mailing address
1670 EGRET RD, HOMESTEAD, FL 33035-1080
(786) 312-4478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
01/30/2023
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