| Abracadabra Aba Pllc | |
|
1737 Croghan Dr Melbourne FL 32940-6014 | |
| (321) 536-8373 | |
| Not Available |
| Full Name | Abracadabra Aba Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1737 Croghan Dr, Melbourne, Florida |
| Authorized Official Name and Position | Lytysha Ann Dupont (FOUNDER) |
| Authorized Official Contact | 3215368373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abracadabra Aba Pllc 1737 Croghan Dr Melbourne FL 32940-6014 Ph: (321) 536-8373 | Abracadabra Aba Pllc 1737 Croghan Dr Melbourne FL 32940-6014 Ph: (321) 536-8373 |
| NPI Number | 1215427638 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215427638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-23127 (Florida) | Primary |
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