Organization
CHILDRENS BEHAVIOR THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA BOLANOS FERNANDEZ BCBA (PRESIDENT)
(305) 401-5259
Entity
Organization
Contact information
Practice address
7971 RIVIERA BLVD STE 106, MIRAMAR, FL 33023-6446
(305) 401-5259
Mailing address
8200 NW 41ST ST STE 200, DORAL, FL 33166-6204
(305) 401-5259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
1-15-21107
FL
Other
Enumeration date
03/26/2017
Last updated
05/05/2026
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