| Excellence Behavioral Services Llc | |
|
6405 Nw 36th St Ste 100 Virginia Gardens FL 33166-6977 | |
| (786) 953-8500 | |
| Not Available |
| Full Name | Excellence Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6405 Nw 36th St Ste 100, Virginia Gardens, Florida |
| Authorized Official Name and Position | Maria Emeric (HUMAN RESOURCES) |
| Authorized Official Contact | 7869538500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Behavioral Services Llc 6405 Nw 36th St Ste 100 Virginia Gardens FL 33166-6977 Ph: (786) 953-8500 | Excellence Behavioral Services Llc 6405 Nw 36th St Ste 100 Virginia Gardens FL 33166-6977 Ph: (786) 953-8500 |
| NPI Number | 1043722416 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 04/07/2022 |
| Certification Date | 04/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043722416 | NPI | - | NPPES |
| 022090300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Florida) | Primary |
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