| I Rock Behavior Llc | |
|
18480 Nw 19th St Pembroke Pines FL 33029-3823 | |
| (786) 376-5812 | |
| Not Available |
| Full Name | I Rock Behavior Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18480 Nw 19th St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Malena S Martinez (PRESIDENT) |
| Authorized Official Contact | 7863765812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Rock Behavior Llc 18480 Nw 19th St Pembroke Pines FL 33029-3823 Ph: (786) 376-5812 | I Rock Behavior Llc 18480 Nw 19th St Pembroke Pines FL 33029-3823 Ph: (786) 376-5812 |
| NPI Number | 1225544604 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225544604 | NPI | - | NPPES |
| 662050 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Florida) | Primary |
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