Organization
NEUROBEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A HERRERA PH.D. (PRESIDENT)
(305) 445-9554
Entity
Organization
Contact information
Practice address
100 MIRACLE MILE, SUITE 330, CORAL GABLES, FL 33134-5430
(305) 445-9554
(786) 235-1074
Mailing address
PO BOX 142064, CORAL GABLES, FL 33114-2064
(305) 445-9554
(786) 235-1074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 0003733
FL
103TC0700X
Clinical Psychologist
PY 2120
FL
103TC0700X
Clinical Psychologist
PY4487
FL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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