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Organization
KID CENTERED THERAPY
Active
Organization
KID CENTERED THERAPY
Active
Parent organization
CERBERUS CORP
Other names
Cerberus, Kid Centered Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CERBERUS CORP
Authorized official
MRS. SIRIPORN CERBER LCSW (PRESIDENT)
(130) 556-2004
Entity
Organization
Contact information
Practice address
13012 SW 143RD TER, MIAMI, FL 33186-8397
(130) 556-2004
Mailing address
13012 SW 143RD TER, MIAMI, FL 33186-8397
(130) 556-2004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022328200
—
FL
Enumeration date
07/08/2018
Last updated
07/08/2018
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