Prism Early Advancement Center 1 Llc | |
245 Catalonia Ave Coral Gables FL 33134-6704 | |
(305) 448-2828 | |
Not Available |
Full Name | Prism Early Advancement Center 1 Llc |
---|---|
Speciality | Behavior Analyst |
Location | 245 Catalonia Ave, Coral Gables, Florida |
Authorized Official Name and Position | Christopher Malek (MANAGING MEMBER) |
Authorized Official Contact | 3054482828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prism Early Advancement Center 1 Llc 245 Catalonia Ave Coral Gables FL 33134-6704 Ph: () - | Prism Early Advancement Center 1 Llc 245 Catalonia Ave Coral Gables FL 33134-6704 Ph: (305) 448-2828 |
NPI Number | 1386225688 |
---|---|
Provider Enumeration Date | 04/19/2021 |
Last Update Date | 08/18/2021 |
Certification Date | 08/18/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386225688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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