Organization · NPI-2

Adt Behavior Services LLC

Behavior Analyst · Homestead, FL

NPI number1609572296
StatusActive
Last updated in NPPESFeb 6, 2023

Details

NPI
1609572296
Entity type
Organization (NPI-2)
Legal business name
Adt Behavior Services LLC
Organization subpart
No
Enumeration date
Feb 6, 2023
Certification date
Feb 4, 2023
Last updated
Feb 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

25001 Sw 127th Ave Ste 202
Homestead, FL 33032-5834

Phone 786-720-1863

Mailing address

25001 Sw 127th Ave Ste 202
Homestead, FL 33032-5834

Phone 786-720-1863

Authorized official

Addis Tarrero Mendoza
Owner
7867201863

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