Organization
PATRICK'S ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN PATRICK MAHOTIERE JR. (REGISTERED BEHAVIORAL TECHNICIAN)
(786) 339-3396
Entity
Organization
Contact information
Practice address
224 NE 23RD TER, HOMESTEAD, FL 33033-6220
(786) 339-3396
Mailing address
224 NE 23RD TER, HOMESTEAD, FL 33033-6220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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