Organization
EFFLORESCE BEHAVIOR THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CANO (BOARD CERTIFIED BEHAVIOR ANALYST)
(305) 731-3931
Entity
Organization
Contact information
Practice address
14225 SW 23RD LN, MIAMI, FL 33175-8020
(305) 731-3931
Mailing address
14225 SW 23RD LN, MIAMI, FL 33175-8020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-14-15528
FL
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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