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Organization
LIGHT OF HOPE BEHAVIOR THERAPY INC
Active
Organization
LIGHT OF HOPE BEHAVIOR THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA H PEREZ GONZALEZ (OWNER)
(786) 701-3109
Entity
Organization
Contact information
Practice address
15190 SW 136TH ST STE 4, MIAMI, FL 33196-2618
(786) 701-3109
Mailing address
15190 SW 136TH ST STE 4, MIAMI, FL 33196-2618
(786) 701-3109
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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