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Organization
MIA BEHAVIOR SERVICES LLC
Active
Organization
MIA BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY LOPEZ BCBA (PRESIDENT)
(786) 365-2155
Entity
Organization
Contact information
Practice address
4210 SW 116TH AVE, MIAMI, FL 33165
(786) 365-2155
Mailing address
2423 SW 147TH AVE # 574, MIAMI, FL 33185-4082
(786) 365-2155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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