| Aba Therapy Services Inc | |
|
6425 Red Pine Ln Apt D Greenacres FL 33415-6179 | |
| (305) 301-6937 | |
| Not Available |
| Full Name | Aba Therapy Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6425 Red Pine Ln Apt D, Greenacres, Florida |
| Authorized Official Name and Position | Humberto Jesus Valladares Fragoso (PRESIDENT) |
| Authorized Official Contact | 3053016937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Therapy Services Inc 6425 Red Pine Ln Apt D Greenacres FL 33415-6179 Ph: (305) 301-6937 | Aba Therapy Services Inc 6425 Red Pine Ln Apt D Greenacres FL 33415-6179 Ph: (305) 301-6937 |
| NPI Number | 1407514805 |
|---|---|
| Provider Enumeration Date | 12/02/2021 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407514805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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