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Organization
ISA BEHAVIORAL GROUP LLC
Active
Organization
ISA BEHAVIORAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFREDO RUIZ (PRESIDENT)
(786) 344-6224
Entity
Organization
Contact information
Practice address
18710 SW 107TH AVE UNIT 16, CUTLER BAY, FL 33157-6774
(786) 344-6224
Mailing address
18710 SW 107TH AVE UNIT 16, CUTLER BAY, FL 33157-6774
(786) 344-6224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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