| Aba Family Services | |
|
2074 Se Doverbrook St Port Saint Lucie FL 34983-4698 | |
| (772) 905-8836 | |
| Not Available |
| Full Name | Aba Family Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2074 Se Doverbrook St, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Shannon Kiess (OWNER) |
| Authorized Official Contact | 7725300575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Family Services 2074 Se Doverbrook St Port Saint Lucie FL 34983-4698 Ph: () - | Aba Family Services 2074 Se Doverbrook St Port Saint Lucie FL 34983-4698 Ph: (772) 905-8836 |
| NPI Number | 1003314402 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 01/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003314402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11623919 (Florida) | Primary |
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