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Organization

BEHAVIORAL FUNSTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA NAPOLES BALMASEDA (CEO)
(786) 355-6204
Entity
Organization

Contact information

Practice address
2530 SW 87TH AVE, MIAMI, FL 33165-2028
(786) 355-6204
Mailing address
7254 SW 148TH CT, MIAMI, FL 33193-1123
(786) 355-6204

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/27/2023
Last updated
07/27/2023
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