Organization
CHILDRENS BEHAVIORAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YOLEIDIS GONZALEZ (OWNER)
(786) 499-5497
Entity
Organization
Contact information
Practice address
3020 LEE BLVD STE 10, LEHIGH ACRES, FL 33971-2438
(786) 499-5497
Mailing address
4143 SW 74TH CT STE B, MIAMI, FL 33155-4467
(786) 499-5497
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/26/2024
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