Behavior Krg Service Llc | |
850 Burlington St Opa Locka FL 33054-3929 | |
(786) 486-1211 | |
Not Available |
Full Name | Behavior Krg Service Llc |
---|---|
Speciality | Behavior Analyst |
Location | 850 Burlington St, Opa Locka, Florida |
Authorized Official Name and Position | Katy Repiso (CEO) |
Authorized Official Contact | 7864861211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behavior Krg Service Llc 850 Burlington St Opa Locka FL 33054-3929 Ph: (786) 486-1211 | Behavior Krg Service Llc 850 Burlington St Opa Locka FL 33054-3929 Ph: (786) 486-1211 |
NPI Number | 1194422683 |
---|---|
Provider Enumeration Date | 02/14/2023 |
Last Update Date | 02/14/2023 |
Certification Date | 02/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194422683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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