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Organization
TH VEGA BEHAVIORAL CORP
Active
Organization
TH VEGA BEHAVIORAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HERNANDEZ DE LA GUARDIA (CEO)
(786) 410-8439
Entity
Organization
Contact information
Practice address
100 NE 15TH ST STE 101A, HOMESTEAD, FL 33030-4564
(786) 547-7103
(786) 601-2507
Mailing address
10876 SW 229TH ST, MIAMI, FL 33170-7517
(786) 370-2216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
03/07/2025
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