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NPI Code Detail

MEDICARE: LAI BEHAVIOR ANALYSIS INC

MEDICARE: LAI BEHAVIOR ANALYSIS 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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker
3106E00000XAssistant Behavior Analyst
4106H00000XMarriage & Family Therapist
5106S00000XBehavior Technician
6222Q00000XDevelopmental Therapist
7261QH0700XHearing and Speech Clinic/Center
8103K00000XBehavior Analyst

General Provider Information

NPI Number : 1568908333
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAI BEHAVIOR ANALYSIS INC
Provider Business Mailing Address
First Line : 981 NW 132ND AVE W
Second Line :
City : MIAMI
State : FL
Zip : 33182-2313
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 981 NW 132ND AVE W
Second Line :
City : MIAMI
State : FL
Zip : 33182-2313
Country : US
Telephone Number : 305-720-3464
Fax Number :
Authorized Official
Title or Position : VP
Name : MISS ILSY DIAZ
Credential :
Telephone Number : 786-503-5853
Provider Enumeration Date : 01/17/2017
Last Update Date : 01/27/2021

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Directions to “LAI BEHAVIOR ANALYSIS INC ” Practice Location

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