Miracles Behavior Therapy Corp | |
9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 | |
(786) 557-0300 | |
Not Available |
Full Name | Miracles Behavior Therapy Corp |
---|---|
Speciality | Behavior Analyst |
Location | 9160 Forum Corporate Pkwy Ste 350, Fort Myers, Florida |
Authorized Official Name and Position | Marlon Medina (CEO) |
Authorized Official Contact | 7862507352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Miracles Behavior Therapy Corp 9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 Ph: (786) 557-0300 | Miracles Behavior Therapy Corp 9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808 Ph: (786) 557-0300 |
NPI Number | 1639814627 |
---|---|
Provider Enumeration Date | 05/03/2022 |
Last Update Date | 05/03/2022 |
Certification Date | 05/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639814627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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