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Organization
STATE OF MIND ABA SERVICES LLC
Active
Organization
STATE OF MIND ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALIANA YSTOKAZU GOMEZ (PRESIDENT)
(305) 632-2528
Entity
Organization
Contact information
Practice address
12985 SW 130TH CT UNIT 103, MIAMI, FL 33186-5344
(305) 632-2528
Mailing address
12985 SW 130TH CT UNIT 103, MIAMI, FL 33186-5344
(305) 632-2528
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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