| Kiwi Behavioral Therapy, Llc | |
|
107 Ne 3rd St Hallandale Beach FL 33009-4218 | |
| (954) 256-0357 | |
| Not Available |
| Full Name | Kiwi Behavioral Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 107 Ne 3rd St, Hallandale Beach, Florida |
| Authorized Official Name and Position | Charlene Fries (OWNER) |
| Authorized Official Contact | 9546629796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiwi Behavioral Therapy, Llc 107 Ne 3rd St Hallandale Beach FL 33009-4218 Ph: (954) 256-0357 | Kiwi Behavioral Therapy, Llc 107 Ne 3rd St Hallandale Beach FL 33009-4218 Ph: (954) 256-0357 |
| NPI Number | 1033837844 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033837844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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