Organization
BEHAVIOR CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIRA MILLAR (MANAGING MEMBER)
(954) 330-7611
Entity
Organization
Contact information
Practice address
403 SW 103RD AVE APT 304, PEMBROKE PINES, FL 33025-1881
(954) 330-7611
Mailing address
403 SW 103RD AVE APT 304, PEMBROKE PINES, FL 33025-1881
(954) 330-7611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/28/2019
Last updated
09/03/2020
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