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Organization
FAVY HCS, INC.
Active
Organization
FAVY HCS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA ALONSO (PRESIDENT)
(786) 443-9221
Entity
Organization
Contact information
Practice address
12360 SW 132ND CT STE 205, MIAMI, FL 33186-6461
(786) 429-3738
(305) 397-2416
Mailing address
12360 SW 132ND CT STE 205, MIAMI, FL 33186-6461
(786) 429-3738
(305) 397-2416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003015700
MEDICAID WAIVER
FL
05
—
003015700
—
FL
05
—
005564800
—
FL
05
—
017450000
—
FL
Enumeration date
08/13/2013
Last updated
10/30/2023
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