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Organization
DE LA FUENTE BEHAVIORAL SERVICES LLC
Active
Organization
DE LA FUENTE BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLY DE LA FUENTE ZABALA (OWNER)
(786) 366-6145
Entity
Organization
Contact information
Practice address
8365 SW 152ND AVE APT C-115, MIAMI, FL 33193-4028
(786) 366-6145
Mailing address
8365 SW 152ND AVE APT C-115, MIAMI, FL 33193-4028
(786) 366-6145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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