Acsi Community Behavioral Center, Llc. | |
3113 Stirling Rd Ste 204 Fort Lauderdale FL 33312-6547 | |
(954) 842-3501 | |
(954) 206-0906 |
Full Name | Acsi Community Behavioral Center, Llc. |
---|---|
Speciality | Behavior Analyst |
Location | 3113 Stirling Rd Ste 204, Fort Lauderdale, Florida |
Authorized Official Name and Position | Yanet Rodriguez Jimenez (CEO) |
Authorized Official Contact | 9548423501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Acsi Community Behavioral Center, Llc. 3113 Stirling Rd Ste 204 Fort Lauderdale FL 33312-6547 Ph: (954) 842-3501 | Acsi Community Behavioral Center, Llc. 3113 Stirling Rd Ste 204 Fort Lauderdale FL 33312-6547 Ph: (954) 842-3501 |
NPI Number | 1013424266 |
---|---|
Provider Enumeration Date | 01/09/2018 |
Last Update Date | 01/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013424266 | NPI | - | NPPES |
021204200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | MH8867 (Florida) | Primary |
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