Organization
GOOD BEHAVIOR CM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA R MORA BLAZQUEZ (PRESIDENT)
(786) 274-9139
Entity
Organization
Contact information
Practice address
11747 SW 99TH LN, MIAMI, FL 33186-2752
(786) 424-0936
Mailing address
11747 SW 99TH LN, MIAMI, FL 33186-2752
(786) 274-9139
(786) 901-8337
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
08/21/2025
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