Organization
YELLOW BRICK ROAD THERAPY.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILENA BASANEZ RAMIREZ MS. CCC-SLP (OWNER)
(786) 747-1029
Entity
Organization
Contact information
Practice address
12676 NW 9TH TER, MIAMI, FL 33182-2060
(786) 747-1029
Mailing address
12676 NW 9TH TER, MIAMI, FL 33182-2060
(786) 747-1029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
04/22/2024
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