Organization
MAXI BEHAVIOR SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE C MAXI (BEHAVIOR ASSISTANT)
(561) 577-0632
Entity
Organization
Contact information
Practice address
6713 HERITAGE GRANDE UNIT 1206, BOYNTON BEACH, FL 33437-7913
(561) 577-0632
Mailing address
6713 HERITAGE GRANDE UNIT 1206, BOYNTON BEACH, FL 33437-7913
(561) 577-0632
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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