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Organization
IBC THERAPY CENTER LLC
Active
Organization
IBC THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVIS M HERNANDEZ (CFO)
(305) 318-4757
Entity
Organization
Contact information
Practice address
1985 NW 88TH CT STE 201, DORAL, FL 33172-2638
(305) 318-4757
Mailing address
1985 NW 88TH CT STE 201, DORAL, FL 33172-2638
(305) 318-4757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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