Organization
MDMBEHAVIORTRAINING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON DANIEL (OWNER)
(786) 442-0953
Entity
Organization
Contact information
Practice address
10200 NW 25TH ST STE 201, DORAL, FL 33172-5922
(786) 442-0953
Mailing address
10200 NW 25TH ST STE 201, DORAL, FL 33172-5922
(786) 442-0953
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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