Grace Correa
Behavior Technician in Sunrise, FL. Individual provider (NPI-1).
NPI number1043032030
StatusActive
Last updated in NPPESOct 30, 2024
Details
- NPI
- 1043032030
- Entity type
- Individual (NPI-1)
- Name
- Grace Correa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2024
- Certification date
- Oct 30, 2024
- Last updated
- Oct 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 24372126 | FL | Yes |
Practice location
4117 N Pine Island RdSunrise, FL 33351-6005
Phone 954-605-0378 · Fax 954-530-4292
Mailing address
4117 N Pine Island RdSunrise, FL 33351-6005
Phone 954-652-8613 · Fax 954-530-4292
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