Fort Lauderdale Behavior Therapy | |
2630 E Oakland Park Blvd Fort Lauderdale FL 33306-1603 | |
(561) 501-1725 | |
Not Available |
Full Name | Fort Lauderdale Behavior Therapy |
---|---|
Speciality | Social Worker - Clinical |
Location | 2630 E Oakland Park Blvd, Fort Lauderdale, Florida |
Authorized Official Name and Position | Mitchel Rosenholtz (CEO) |
Authorized Official Contact | 5615011725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fort Lauderdale Behavior Therapy 2630 E Oakland Park Blvd Fort Lauderdale FL 33306-1603 Ph: (561) 501-1725 | Fort Lauderdale Behavior Therapy 2630 E Oakland Park Blvd Fort Lauderdale FL 33306-1603 Ph: (561) 501-1725 |
NPI Number | 1275924979 |
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Provider Enumeration Date | 02/17/2015 |
Last Update Date | 02/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275924979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ISW9308 (Florida) | Primary |
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› Verified 4 days ago
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