| Shine Behavior Therapy Inc | |
|
1670 Egret Rd Homestead FL 33035-1080 | |
| (786) 312-4478 | |
| Not Available |
| Full Name | Shine Behavior Therapy Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1670 Egret Rd, Homestead, Florida |
| Authorized Official Name and Position | Mirza Zaldivar (PRESIDENT) |
| Authorized Official Contact | 7863124478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Behavior Therapy Inc 1670 Egret Rd Homestead FL 33035-1080 Ph: (786) 312-4478 | Shine Behavior Therapy Inc 1670 Egret Rd Homestead FL 33035-1080 Ph: (786) 312-4478 |
| NPI Number | 1518634104 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518634104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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