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Organization

CREO EN TI THERAPEUTIC SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARLIETY SUSANA PEREZ LMFT (PRESIDENT/ANALYST)
(786) 759-7572
Entity
Organization

Contact information

Practice address
4100 VAN BUREN ST, HOLLYWOOD, FL 33021-6723
(786) 759-7572
Mailing address
4100 VAN BUREN ST, HOLLYWOOD, FL 33021-6723
(786) 759-7572

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
06/25/2024
Last updated
06/25/2024
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