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Organization
1ST JPA BEHAVIOR MANAGEMENT CLINIC INC
Active
Organization
1ST JPA BEHAVIOR MANAGEMENT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMARILYS PEREZ (PRESIDENT)
(786) 523-2352
Entity
Organization
Contact information
Practice address
19001 SW 106TH AVE # C103, CUTLER BAY, FL 33157-7669
(786) 523-2352
(786) 431-4078
Mailing address
19001 SW 106TH AVE # C103, CUTLER BAY, FL 33157-7669
(786) 523-2352
(786) 431-4078
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018511200
—
FL
Enumeration date
09/27/2021
Last updated
10/21/2021
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