Organization
AJEGBE THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIRYS LEON ALVAREZ (PRESIDENT)
(305) 967-9851
Entity
Organization
Contact information
Practice address
20016 NW 64TH COURT RD, HIALEAH, FL 33015-2174
(305) 967-9851
Mailing address
20016 NW 64TH COURT RD, HIALEAH, FL 33015-2174
(305) 967-9851
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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