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Organization
MLC BEHAVIOR CARE LLC
Active
Organization
MLC BEHAVIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LAURA CASIDO (OWNER)
(786) 546-1092
Entity
Organization
Contact information
Practice address
1408 SE 17TH AVE STE E, CAPE CORAL, FL 33990-3801
(786) 546-1092
Mailing address
1408 SE 17TH AVE STE E, CAPE CORAL, FL 33990-3801
(786) 546-1092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/25/2023
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