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NPI Code Detail

MEDICARE: BETTER KIDS BEHAVIORAL THERAPY

MEDICARE: BETTER KIDS BEHAVIORAL THERAPY
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1609484674
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETTER KIDS BEHAVIORAL THERAPY
Provider Business Mailing Address
First Line : 12485 SW 137TH AVE STE 210
Second Line :
City : MIAMI
State : FL
Zip : 33186-4217
Country : US
Telephone Number : 305-562-2106
Fax Number :
Provider Business Practice Location Address
First Line : 6719 WINKLER RD STE 116
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-7200
Country : US
Telephone Number : 305-562-2106
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JORGE RIVERO
Credential :
Telephone Number : 305-562-2106
Provider Enumeration Date : 07/16/2020
Last Update Date : 07/16/2020

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Directions to “BETTER KIDS BEHAVIORAL THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.