Abundant Abilities Llc | |
4052 Eastridge Cir Pompano Beach FL 33064-1844 | |
(954) 590-0647 | |
Not Available |
Full Name | Abundant Abilities Llc |
---|---|
Speciality | Behavior Analyst |
Location | 4052 Eastridge Cir, Pompano Beach, Florida |
Authorized Official Name and Position | Shaketra Miller-johnson (OWNER) |
Authorized Official Contact | 9545900647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Abundant Abilities Llc 4052 Eastridge Cir Pompano Beach FL 33064-1844 Ph: () - | Abundant Abilities Llc 4052 Eastridge Cir Pompano Beach FL 33064-1844 Ph: (954) 590-0647 |
NPI Number | 1679920326 |
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Provider Enumeration Date | 05/23/2016 |
Last Update Date | 05/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679920326 | NPI | - | NPPES |
010797300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-08-4450 (Florida) | Primary |
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