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Organization
HOLISTIC BEHAVIOR THERAPY LLC
Active
Organization
HOLISTIC BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO MORENO (MANAGER)
(787) 485-5546
Entity
Organization
Contact information
Practice address
1072 VISTA HAVEN CIR APT 103, ORLANDO, FL 32825-3539
(407) 490-7980
Mailing address
1072 VISTA HAVEN CIR APT 103, ORLANDO, FL 32825-3539
(407) 490-7980
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
16-17695
FL
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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