Organization
ATTENTION BEHAVIOR COGNITIVE THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA D REID SLP.D (PRESIDENT)
(305) 600-0651
Entity
Organization
Contact information
Practice address
5720 SW 195TH TER, SOUTHWEST RANCHES, FL 33332-1204
(954) 775-5013
(800) 952-2030
Mailing address
45 NW 8TH ST, SUITE #102, HOMESTEAD, FL 33030-4452
(305) 600-0651
(800) 952-2030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
SA 4876
FL
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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