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Organization
BEHAVIORAL THERAPY ABC, LLC
Active
Organization
BEHAVIORAL THERAPY ABC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMARAY FERNANDEZ SUAREZ MS (OWNER/ADMINISTRATOR)
(786) 713-5553
Entity
Organization
Contact information
Practice address
13301 SW 132ND AVE UNIT 209, MIAMI, FL 33186-6190
(786) 713-5553
Mailing address
13301 SW 132ND AVE, MIAMI, FL 33186-6188
(786) 713-5553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L17000128277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063769198
—
FL
Enumeration date
07/07/2017
Last updated
04/01/2025
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