| Abha Llc | |
|
124 E Miracle Strip Pkwy Ste 503 Mary Esther FL 32569-1991 | |
| (252) 529-9259 | |
| Not Available |
| Full Name | Abha Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 124 E Miracle Strip Pkwy Ste 503, Mary Esther, Florida |
| Authorized Official Name and Position | Julie Gracela Webb (OWNER) |
| Authorized Official Contact | 2525299259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abha Llc 2914 Bentwood Ln Fort Walton Beach FL 32547-6855 Ph: () - | Abha Llc 124 E Miracle Strip Pkwy Ste 503 Mary Esther FL 32569-1991 Ph: (252) 529-9259 |
| NPI Number | 1467923326 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467923326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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