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Organization
POSITIVE BEHAVIOR SHAPING LLC
Active
Organization
POSITIVE BEHAVIOR SHAPING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY PEREZ ESTEVEZ (EXECUTIVE DIRECTOR)
(772) 473-2390
Entity
Organization
Contact information
Practice address
7044 SE CRICKET CT, STUART, FL 34997-4745
(772) 473-2390
Mailing address
7044 SE CRICKET CT, STUART, FL 34997-4745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2664
FL
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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