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Organization
TESUKAN BEHAVIORAL MENTAL HEALTH SERVICES CORP
Active
Organization
TESUKAN BEHAVIORAL MENTAL HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER GONZALEZ OTANO (OWNER)
(786) 720-0002
Entity
Organization
Contact information
Practice address
2255 GLADES RD STE 324A, BOCA RATON, FL 33431-8571
(561) 526-6045
Mailing address
2255 GLADES RD STE 324A, BOCA RATON, FL 33431-8571
(561) 526-6045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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