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NPI Code Detail

MEDICARE: BORGES BEHAVIORAL LLC

MEDICARE: BORGES BEHAVIORAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1023881091
Entity Type Code : Organization
Provider Name (Legal Business Name) : BORGES BEHAVIORAL LLC
Provider Business Mailing Address
First Line : 6355 SW 8TH ST APT 607
Second Line :
City : WEST MIAMI
State : FL
Zip : 33144-4857
Country : US
Telephone Number : 786-678-2837
Fax Number :
Provider Business Practice Location Address
First Line : 6355 SW 8TH ST APT 607
Second Line :
City : WEST MIAMI
State : FL
Zip : 33144-4857
Country : US
Telephone Number : 786-678-2837
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ARIEL BORGES DUANES
Credential :
Telephone Number : 786-678-2837
Provider Enumeration Date : 11/01/2023
Last Update Date : 11/01/2023

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Directions to “BORGES BEHAVIORAL LLC ” Practice Location

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