Th Vega Behavioral Corp | |
100 Ne 15th St Ste 101a Homestead FL 33030-4564 | |
(305) 764-8241 | |
Not Available |
Full Name | Th Vega Behavioral Corp |
---|---|
Speciality | Behavior Analyst |
Location | 100 Ne 15th St Ste 101a, Homestead, Florida |
Authorized Official Name and Position | Diana Hernandez De La Guardia (ADMINISTRATOR) |
Authorized Official Contact | 3057648241 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Th Vega Behavioral Corp 10876 Sw 229th St Miami FL 33170-7517 Ph: (786) 370-2216 | Th Vega Behavioral Corp 100 Ne 15th St Ste 101a Homestead FL 33030-4564 Ph: (305) 764-8241 |
NPI Number | 1548978059 |
---|---|
Provider Enumeration Date | 11/14/2022 |
Last Update Date | 02/08/2024 |
Certification Date | 02/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548978059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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