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Organization
EARLY INTERVENTION PROGRAM LLC
Active
Organization
EARLY INTERVENTION PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TEJEDA (CEO)
(786) 643-7819
Entity
Organization
Contact information
Practice address
3625 NW 82ND AVE STE N, DORAL, FL 33166-6652
(786) 615-2890
(305) 381-5119
Mailing address
3625 NW 82ND AVE STE ZZ, DORAL, FL 33166-6652
(786) 643-7819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
11/04/2021
Last updated
07/15/2022
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