Organization
NEUROBEHAVORIAL ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN ROSADO (PWNER)
(203) 671-9950
Entity
Organization
Contact information
Practice address
11555 HERON BAY BLVD STE 200, CORAL SPRINGS, FL 33076-3362
(954) 603-0480
Mailing address
3115 NW 10TH TER STE 103, FORT LAUDERDALE, FL 33309-5937
(954) 603-0480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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