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Organization
VG BEHAVIORAL THERAPY LLC
Active
Organization
VG BEHAVIORAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CALLEJA (MANAGER)
(954) 300-1691
Entity
Organization
Contact information
Practice address
2598 E SUNRISE BLVD # 2104, FORT LAUDERDALE, FL 33304-3230
(954) 300-1691
(954) 333-7078
Mailing address
2598 E SUNRISE BLVD # 2104, FORT LAUDERDALE, FL 33304-3230
(954) 300-1691
(954) 333-7078
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/26/2023
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