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Organization
KCL BEHAVIOR LLC
Active
Organization
KCL BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENIA C LOPEZ GONZALEZ (PRESIDENT)
(908) 220-4918
Entity
Organization
Contact information
Practice address
3300 NW 179TH ST, MIAMI GARDENS, FL 33056-3418
(908) 220-4918
Mailing address
3300 NW 179TH ST, MIAMI GARDENS, FL 33056-3418
(908) 220-4918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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