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Organization
INCREDIBLE MIND BEHAVIOR SERVICES LLC
Active
Organization
INCREDIBLE MIND BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOAQUIN CAMEJO (AUTHORIZED OFFICAL)
(305) 967-3918
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD # 1K2, MIAMI, FL 33172-7018
(786) 763-1109
Mailing address
175 FONTAINEBLEAU BLVD # 1K2, MIAMI, FL 33172-7018
(786) 763-1109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LBT
764495
FL
Enumeration date
11/29/2022
Last updated
11/29/2022
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