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Organization
LIFESTYLE BEHAVIOR LLC
Active
Organization
LIFESTYLE BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO E GONZALEZ VELEZ (OWNER)
(754) 261-0682
Entity
Organization
Contact information
Practice address
1931 NW 150TH AVE, STE 223, PEMBROKE PINES, FL 33028-2880
(954) 406-7278
(954) 406-7241
Mailing address
1931 NW 150TH AVE, STE 223, PEMBROKE PINES, FL 33028-2880
(954) 406-7278
(954) 406-7241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
02/08/2024
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