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1821852617
BLUEVINE BEHAVIORAL THERAPY LLC
ORLANDO, FL
NPI
1821852617
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Entity Type
Organization
Authorized Contact
YRALIA DEVEREUX
Owner
208-695-0098
Organization Subpart ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
BLUEVINE BEHAVIORAL THERAPY LLC
427 N MAGNOLIA AVE
ORLANDO, FL 32801-1524
Phone number: 407-900-7422
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Mailing Address
BLUEVINE BEHAVIORAL THERAPY LLC
14411 WABASSO LOOP
WINTER GARDEN, FL 34787-5797
Phone number: 208-695-0098
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