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Organization
TEAM PBS
Active
Organization
TEAM PBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINH NGUYEN (TECHNICAL BEHAVIOR)
(857) 445-3932
Entity
Organization
Contact information
Practice address
25 JAMES ONEILL ST APT 504, SOUTH BOSTON, MA 02127-4509
(857) 445-3932
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
10/30/2023
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