Organization
FLORIDA FAMILY SUPPORT LLC
Active
Organization
FLORIDA FAMILY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA BECHARA (PRACTICE MANAGER)
(305) 305-6367
Entity
Organization
Contact information
Practice address
5300 W HILLSBORO BLVD STE 208, COCONUT CREEK, FL 33073-4397
(305) 305-6367
(561) 423-3105
Mailing address
5300 W HILLSBORO BLVD STE 208, COCONUT CREEK, FL 33073-4397
(305) 305-6367
(561) 423-3105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
11415726
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MH14122
FL
Other
Enumeration date
05/18/2016
Last updated
10/31/2019
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