| Light Of Hope Behavior Therapy Inc | |
|
15190 Sw 136th St Ste 4 Miami FL 33196-2618 | |
| (786) 701-3109 | |
| Not Available |
| Full Name | Light Of Hope Behavior Therapy Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15190 Sw 136th St Ste 4, Miami, Florida |
| Authorized Official Name and Position | Tania H Perez (OWNER) |
| Authorized Official Contact | 7864508836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Of Hope Behavior Therapy Inc 15190 Sw 136th St Ste 4 Miami FL 33196-2618 Ph: (786) 701-3109 | Light Of Hope Behavior Therapy Inc 15190 Sw 136th St Ste 4 Miami FL 33196-2618 Ph: (786) 701-3109 |
| NPI Number | 1013468008 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013468008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMH13325 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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