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Organization
KID CENTERED THERAPY
Active
Organization
KID CENTERED THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRIPORN CERBER LCSW BCBA (OWNER)
(561) 446-0446
Entity
Organization
Contact information
Practice address
7971 RIVIERA BLVD STE 402, MIRAMAR, FL 33023-6449
(561) 446-0446
Mailing address
7971 RIVIERA BLVD STE 402, MIRAMAR, FL 33023-6449
(954) 816-9713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022328200
—
FL
Enumeration date
01/31/2020
Last updated
06/19/2024
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