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Organization
PRIME BEHAVIORAL CARE
Active
Organization
PRIME BEHAVIORAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEDIAN RODRIGUEZ (OWNER)
(786) 359-3907
Entity
Organization
Contact information
Practice address
15160 SW 136TH ST UNIT 4, MIAMI, FL 33196-2663
(786) 359-3907
Mailing address
10122 SW 223RD TER, CUTLER BAY, FL 33190-1569
(786) 359-3907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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