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Organization
MP BEHAVIORAL CONSULTANTS
Active
Organization
MP BEHAVIORAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA J. PRESTON M.S. ED,. BCABA (BEHAVIOR ANALYST)
(954) 401-2024
Entity
Organization
Contact information
Practice address
1925 LAKE POINT DR, WESTON, FL 33326-2356
(954) 401-2024
Mailing address
1925 LAKE POINT DR, WESTON, FL 33326-2356
(954) 401-2024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-01-0302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687683896
MEDWAIVER
FL
01
—
687683898
MEDWAIVER
FL
Enumeration date
01/17/2012
Last updated
01/17/2012
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