Neurodverse LLC

NPI #1912615873 in Doral, Florida

Provider Information

NPI Number: 1912615873
Entity Type: Organization
Organization Name: Neurodverse LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 9, 2022
Last Updated: Nov 9, 2022

Practice Location

Address: 10820 NW 85TH TER
City: Doral
State: Florida
ZIP Code: 33178-1545
Phone: (786) 384-1063

Authorized Official

Name: MRS. GRETEL DEBASA MARIMON
Title: BCBA
Phone: (786) 384-1063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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