Organization
CHILDREN'S CENTER FOR DEVELOPMENT & BEHAVIOR
Active
Other names
Children's Pyschology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE AZEL (CEO)
(954) 745-1112
Entity
Organization
Contact information
Practice address
440 SAWGRASS CORPORATE PKWY, SUITE 106, SUNRISE, FL 33325-6244
(954) 745-1112
Mailing address
440 SAWGRASS CORPORATE PKWY, SUITE 106, SUNRISE, FL 33325-6244
(954) 745-1112
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
222Q00000X
Developmental Therapist
—
FL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691637696
—
FL
05
—
691637698
—
FL
05
—
811574500
—
FL
05
—
888987200
—
FL
Enumeration date
01/03/2007
Last updated
06/30/2009
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