Organization

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)

Code

251S00000X

Primary Taxonomy

Yes

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

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