| NPI | 1144938549 |
|---|---|
| Doing Business As | ADVANCE BEHAVIORAL THERAPIST LLC |
| Former Legal Business Name | ADVANCE BEHAVIORAL THERAPIST LLC |
| Entity Type | Organization |
| Authorized Contact | LEXANDER GONZALEZ Owner 305-772-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-05-02 |