EFFLORESCE BEHAVIOR THERAPY, INC
Agencies at 23 Ln, Miami, FL

License number
Florida 1-14-15528
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: AMANDA CANO
Title: BOARD CERTIFIED BEHAVIOR ANALYST
Phone: (305) 731-3931
Address
Address
14225 SW 23Rd Ln, Miami, FL 33175
National Provider ID: 1194134551
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EFFLORESCE BEHAVIOR THERAPY, INC

14225 SW 23 Ln, Miami, FL 33175

Industry:
Specialty Outpatient Clinic
Registration:
Jun 11, 2014
State ID:
P14000051205
Business type:
Florida Profit Corporation
Secretary, Treasurer, Vice President, President:
Amanda K Cano (Secretary, Treasurer, Vice President, President), 14225 SW 23 Ln, Miami, FL 33175 (Physical)
Agent:
Amanda Cano,14225 SW 23 Ln, Miami, FL 33175 (Physical)
EIN:
47-1099465

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