| Behavior Land Inc | |
|
14996 Sw 283rd St Apt 307 Homestead FL 33033-1154 | |
| (305) 772-5091 | |
| Not Available |
| Full Name | Behavior Land Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14996 Sw 283rd St Apt 307, Homestead, Florida |
| Authorized Official Name and Position | Jose Antonio Peraza Goicolea (OWNER) |
| Authorized Official Contact | 3057725091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Land Inc 14996 Sw 283rd St Apt 307 Homestead FL 33033-1154 Ph: (305) 772-5091 | Behavior Land Inc 14996 Sw 283rd St Apt 307 Homestead FL 33033-1154 Ph: (305) 772-5091 |
| NPI Number | 1336859545 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336859545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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