| Su Therapy Pa | |
|
150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 | |
| (954) 295-5526 | |
| Not Available |
| Full Name | Su Therapy Pa |
|---|---|
| Speciality | Behavior Analyst |
| Location | 150 E Palmetto Park Rd Ste 800, Boca Raton, Florida |
| Authorized Official Name and Position | Mary J Miranda (OWNER) |
| Authorized Official Contact | 9542955526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Su Therapy Pa 150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 Ph: (954) 295-5526 | Su Therapy Pa 150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 Ph: (954) 295-5526 |
| NPI Number | 1427721422 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427721422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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