Tcm Of Fl | |
14875 Nw 77th Ave Ste 204 Miami Lakes FL 33014-2568 | |
(305) 989-2907 | |
Not Available |
Full Name | Tcm Of Fl |
---|---|
Speciality | Behavior Analyst |
Location | 14875 Nw 77th Ave Ste 204, Miami Lakes, Florida |
Authorized Official Name and Position | Noel Fiallo (CEO) |
Authorized Official Contact | 7863211400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tcm Of Fl 14875 Nw 77th Ave Ste 204 Miami Lakes FL 33014-2568 Ph: (305) 989-2907 | Tcm Of Fl 14875 Nw 77th Ave Ste 204 Miami Lakes FL 33014-2568 Ph: (305) 989-2907 |
NPI Number | 1922725696 |
---|---|
Provider Enumeration Date | 10/24/2022 |
Last Update Date | 12/01/2022 |
Certification Date | 12/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922725696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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