Organization
ACJ BEHAVIOR SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILIAN LIENET OLIVEROS BCBA (DIRECTOR)
(305) 972-0998
Entity
Organization
Contact information
Practice address
14811 SOUTHWEST 296TH STREET, HOMESTEAD, FL 33033
(305) 972-0998
Mailing address
14811 SOUTHWEST 296TH STREET, HOMESTEAD, FL 33033
(305) 972-0998
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109498900
—
FL
Enumeration date
11/15/2022
Last updated
11/15/2022
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