| Aba Behavioral Health | |
|
103 Rickey Ave Unit C Fort Walton Beach FL 32547-2520 | |
| (850) 376-5624 | |
| (850) 937-7381 |
| Full Name | Aba Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 103 Rickey Ave Unit C, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Margaret Olivia Trujillo (OWNER/BCBA) |
| Authorized Official Contact | 8503765624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Behavioral Health 732 Mayflower Ave Fort Walton Beach FL 32547-3175 Ph: (850) 376-5624 | Aba Behavioral Health 103 Rickey Ave Unit C Fort Walton Beach FL 32547-2520 Ph: (850) 376-5624 |
| NPI Number | 1710513940 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 03/19/2020 |
| Certification Date | 03/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710513940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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