| Aba Brightwings,llc | |
|
501 E Dania Beach Blvd Apt 1l Dania Beach FL 33004-3010 | |
| (786) 306-1189 | |
| Not Available |
| Full Name | Aba Brightwings,llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 501 E Dania Beach Blvd Apt 1l, Dania Beach, Florida |
| Authorized Official Name and Position | Eric Otero (OWNER) |
| Authorized Official Contact | 7863061189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Brightwings,llc 220 Ne 12th Ave Lot 16 Homestead FL 33030-6228 Ph: (786) 306-1189 | Aba Brightwings,llc 501 E Dania Beach Blvd Apt 1l Dania Beach FL 33004-3010 Ph: (786) 306-1189 |
| NPI Number | 1346929767 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346929767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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