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Individual

KEITH LIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-7147
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-5315

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103TC0700X
Clinical Psychologist
Primary
PY10286
FL

Other

Enumeration date
10/22/2013
Last updated
12/26/2018
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