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Organization
PRESTIGE MEDICAL SOLUTIONS
Active
Organization
PRESTIGE MEDICAL SOLUTIONS
Active
Other names
Prestige Behavioral Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE BOUCHEREAU (PRESIDENT)
(954) 925-3844
Entity
Organization
Contact information
Practice address
13701 SW 88TH ST STE 305, MIAMI, FL 33186-1309
(786) 703-6218
Mailing address
4662 N.W. 107 AVENUE #1903, MIAMI, FL 33178
(786) 703-6218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/28/2016
Last updated
11/14/2022
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