The Shaping Academy for Behavioral Development
The Shaping Academy for Behavioral Development is a Community/Behavioral Health Agency in Miami, Florida. Licensed in Florida. Registered with an NPI since 2008.
- Licensed in
- FL
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
12930 SW 128th St Ste 204A1Miami, FL 33186-6038
Phone: (305) 562-4683
Fax: (866) 517-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence MH 11547 (FL) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 1-12-10380 (FL) |
Record details
| NPI number | 1710157052 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yanivis Gonzalez — Ceo · (305) 562-4683 |
| NPI enumerated | March 3, 2008 |
| Last updated in NPPES | September 23, 2013 |
| Mailing address | 12930 Sw 128th St, Suite 204a1, Miami, FL 33186-6038 |
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