Organization
DE LA FUENTE BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLY DE LA FUENTE ZABALA (OWNER)
(786) 366-6145
Entity
Organization
Contact information
Practice address
8365 SW 152ND AVE APT C-115, MIAMI, FL 33193-4028
(786) 366-6145
Mailing address
8365 SW 152ND AVE APT C-115, MIAMI, FL 33193-4028
(786) 366-6145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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