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Organization

CLOVER BEHAVIORAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GITTY ENDZWEIG (DIRECTOR)
(866) 352-5010
Entity
Organization

Contact information

Practice address
145 PINE HAVEN SHORES RD STE 22, SHELBURNE, VT 05482-7703
(866) 352-5010
Mailing address
3501 N 53RD AVE, HOLLYWOOD, FL 33021-2333

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/21/2023
Last updated
02/09/2024
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Product
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  • Eligibility checks
  • EDI platform