Organization
IBEHAVIOR ACADEMY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO J VALDES ALFONSO JR (OWNER)
(305) 305-2390
Entity
Organization
Contact information
Practice address
13930 SW 47TH ST STE 203, MIAMI, FL 33175-4400
(786) 534-7127
Mailing address
13930 SW 47TH ST STE 203, MIAMI, FL 33175-4400
(786) 534-7127
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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