Organization
ALCANZANDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAPY CHAVEZ PHD, BCBA-D (EXECUTIVE DIRECTOR)
(561) 577-6170
Entity
Organization
Contact information
Practice address
4646 NW 30TH ST, COCONUT CREEK, FL 33063-5912
(561) 577-6170
Mailing address
4646 NW 30TH ST, COCONUT CREEK, FL 33063-5912
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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