Organization
ADVANCED FAMILY SUPPORT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YILENA ECHERRI SIVERIO (PRESIDENT)
(786) 328-8558
Entity
Organization
Contact information
Practice address
5561 BELROSE ST, LEHIGH ACRES, FL 33971-6446
(239) 201-7704
Mailing address
5561 BELROSE ST, LEHIGH ACRES, FL 33971-6446
(786) 328-8558
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/25/2021
Last updated
02/28/2022
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