Organization
ANGELS OF LIFE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YASSET DOMINGUEZ LEON (PRESIDENT)
(786) 671-9239
Entity
Organization
Contact information
Practice address
5785A NW 151ST ST, MIAMI LAKES, FL 33014-2490
(786) 817-3599
(786) 360-3166
Mailing address
5785A NW 151ST ST, MIAMI LAKES, FL 33014-2490
(786) 817-3599
(786) 360-3166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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