The Shaping Academy For Behavioral Development
Community/Behavioral Health Agency in Miami, FL(View on Map)
Legal Business Name
The Shaping Academy For Behavioral Development
NPI Number
1710157052
NPI Type
Organization
Enumeration Date
03/03/2008
Specialties
(Taxonomies)Licenses
State
Florida
Florida
License Number
MH 11547
1-12-10380
Contact
Information
Purpose
Mailing
Location
Address
12930 SW 128TH ST
12930 SW 128TH ST
City
Miami
Miami
State
FL
FL
Postal Code
33186-6038
33186-6038
Country
US
US
Telephone Number
(305) 562-4683
(305) 562-4683
Authorized Official
Name
Ms. Yanivis Gonzalez
Title or Position
CEO
Telephone Number
(305) 562-4683
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/23/2013
Provider Address
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