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Organization

ADVANCED BEHAVIORAL DIMENSIONS, LLC

Active
Parent organization
ADVANCED BEHAVIORAL DIMENSIONS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVANCED BEHAVIORAL DIMENSIONS, LLC
Authorized official
ZENAYDA ANYLOU LA FONTAINE (OWNER)
(786) 447-0022
Entity
Organization

Contact information

Practice address
270 SHOALS BRIDGE RD, ACWORTH, GA 30102-1352
(786) 447-0022
(305) 397-2764
Mailing address
9241 SW 212TH TER, CUTLER BAY, FL 33189-3833
(786) 447-0022
(305) 397-2764

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/18/2023
Last updated
04/18/2023
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