Organization
VANGUARD BEHAVIOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENDRI DIAZ MA, BCBA, LBA (CEO)
(786) 325-7721
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD STE 200&300, SAINT LOUIS, MO 63108-3725
(786) 325-7721
Mailing address
PO BOX 347720, CORAL GABLES, FL 33234-7720
(786) 325-7721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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