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Organization

BEHAVIOR KRG SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATY REPISO (CEO)
(786) 613-0510
Entity
Organization

Contact information

Practice address
900 W 49TH ST STE 556, HIALEAH, FL 33012-3442
(786) 613-0510
Mailing address
900 W 49TH ST STE 556, HIALEAH, FL 33012-3442
(786) 613-0510

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/14/2023
Last updated
03/27/2026
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