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NPI Code Detail

MEDICARE: SPRINGVIEW ACADEMY INC

MEDICARE: SPRINGVIEW ACADEMY INC
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1649714536
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGVIEW ACADEMY INC
Provider Business Mailing Address
First Line : 18505 NW 75 PL
Second Line : SUITE 127
City : HIALEAH
State : FL
Zip : 33015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18505 NW 75TH PL
Second Line : SUITE 127
City : HIALEAH
State : FL
Zip : 33015-2961
Country : US
Telephone Number : 305-456-5207
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LETY CARVAJAL BUSTILLO
Credential :
Telephone Number : 305-456-5207
Provider Enumeration Date : 12/12/2016
Last Update Date : 12/12/2016

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Directions to “SPRINGVIEW ACADEMY INC ” Practice Location

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