| Aba Blue Hope Corp | |
|
10478 Nw 132nd St Hialeah Gardens FL 33018-1121 | |
| (305) 263-0789 | |
| Not Available |
| Full Name | Aba Blue Hope Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10478 Nw 132nd St, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Yandira Hernandez Fernandez (CEO) |
| Authorized Official Contact | 3052630789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Blue Hope Corp 2638 W 69th Ter Hialeah FL 33016-5483 Ph: () - | Aba Blue Hope Corp 10478 Nw 132nd St Hialeah Gardens FL 33018-1121 Ph: (305) 263-0789 |
| NPI Number | 1669980454 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669980454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
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