Organization
DDJ SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YALIANA COLUMBIE PRADO (OWNER)
(786) 205-0090
Entity
Organization
Contact information
Practice address
12985 SW 130TH CT UNIT 101, MIAMI, FL 33186-5344
(786) 205-0090
Mailing address
12985 SW 130TH CT UNIT 101, MIAMI, FL 33186-5344
(786) 205-0090
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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