Organization
BEHAVIOR FOR ALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FANMY VEGA ROMAN BCBA (DIRECTOR)
(954) 544-8170
Entity
Organization
Contact information
Practice address
12412 SW 1ST ST, CORAL SPRINGS, FL 33071-8060
(954) 544-8170
(954) 544-8170
Mailing address
12412 SW 1ST ST, CORAL SPRINGS, FL 33071-8060
(954) 544-8170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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