Organization
4 JS BEHAVIOR THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY NICOLAS TEJEDA (PRESIDENT)
(786) 246-0061
Entity
Organization
Contact information
Practice address
12028 SW 31ST CT, MIRAMAR, FL 33025-7881
(786) 246-0061
Mailing address
12028 SW 31ST CT, MIRAMAR, FL 33025-7881
(786) 246-0061
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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