Organization
BEHAVIORAL THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRBIAN PUERTE (OFFICE MANAGER)
(305) 927-4033
Entity
Organization
Contact information
Practice address
918 SPRINGVILLE CT, TAMPA, FL 33613-1027
(305) 927-4033
Mailing address
918 SPRINGVILLE CT, TAMPA, FL 33613-1027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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