Organization
BEHAVIOR ANALYSIS FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WANDY CACERES BCABA (CEO)
(786) 597-2047
Entity
Organization
Contact information
Practice address
11725 SW 122ND PL, MIAMI, FL 33186-5032
(786) 597-2047
(305) 273-3981
Mailing address
11725 SW 122ND PL, MIAMI, FL 33186-5032
(786) 597-2047
(305) 273-3981
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-08-2475
FL
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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