Equanimity Behavioral Services Co

NPI #1922527613 in Miramar, Florida

Provider Information

NPI Number: 1922527613
Entity Type: Organization
Organization Name: Equanimity Behavioral Services Co
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 13, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 14359 MIRAMAR PKWY
Address 2: SUITE 504
City: Miramar
State: Florida
ZIP Code: 33027
Phone: (650) 213-2283

Authorized Official

Name: DR. KELLY DAYANA NEGRON, D.H.SCI, ITDS
Title: PRESIDENT
Phone: (650) 213-2283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Behavior Analyst	103K00000X	Primary

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