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Organization
NEUROEDGE PSYCHOLOGY LLC
Active
Organization
NEUROEDGE PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENDRY MONTESINO (CEO)
(786) 442-5424
Entity
Organization
Contact information
Practice address
3373 W 90TH ST, HIALEAH, FL 33018-2005
(786) 442-5424
Mailing address
3373 W 90TH ST, HIALEAH, FL 33018-2005
(786) 442-5424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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