Organization
ANGIE BEHAVIORAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYDELIN LA ROSA LLERENA BCBA (PRESIDENT)
(305) 316-0458
Entity
Organization
Contact information
Practice address
11117 W OKEECHOBEE RD STE 123, HIALEAH, FL 33018-4210
(305) 316-0458
Mailing address
7390 W 29TH AVE, HIALEAH, FL 33018-5349
(305) 316-0458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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