| Abc123 Therapy Llc | |
|
160 E Summerlin St Ste 207 Bartow FL 33830-4633 | |
| (305) 801-7231 | |
| Not Available |
| Full Name | Abc123 Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 160 E Summerlin St Ste 207, Bartow, Florida |
| Authorized Official Name and Position | Hilda Noriega (OWNER) |
| Authorized Official Contact | 3058017231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc123 Therapy Llc 160 E Summerlin St Ste 207 Bartow FL 33830-4633 Ph: (305) 801-7231 | Abc123 Therapy Llc 160 E Summerlin St Ste 207 Bartow FL 33830-4633 Ph: (305) 801-7231 |
| NPI Number | 1588424246 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588424246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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