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Organization
RAINBOW MIRACLES LLC
Active
Organization
RAINBOW MIRACLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISMAEL BOCH BERRILLO (PRESIDENT)
(786) 237-7769
Entity
Organization
Contact information
Practice address
9429 US HIGHWAY 301 S, RIVERVIEW, FL 33578-5440
(786) 237-7769
Mailing address
9429 US HIGHWAY 301 S, RIVERVIEW, FL 33578-5440
(786) 237-7769
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
12/14/2024
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