Organization
EARLY BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO FORTUN (OWNER/PRESIDENT)
(786) 901-0122
Entity
Organization
Contact information
Practice address
9380 SW 72ND ST STE B-252, MIAMI, FL 33173-3276
(786) 238-7734
Mailing address
9380 SW 72ND ST STE B-252, MIAMI, FL 33173-3276
(786) 238-7734
(786) 238-7735
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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