| Advance Aba Corp | |
|
3900 Woodlake Blvd Ste 306c Greenacres FL 33463-3044 | |
| (786) 762-7437 | |
| Not Available |
| Full Name | Advance Aba Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3900 Woodlake Blvd Ste 306c, Greenacres, Florida |
| Authorized Official Name and Position | Jose Antonio Gutierrez (PRESIDENT) |
| Authorized Official Contact | 7867627437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Aba Corp 3900 Woodlake Blvd Ste 306c Greenacres FL 33463-3044 Ph: (786) 762-7437 | Advance Aba Corp 3900 Woodlake Blvd Ste 306c Greenacres FL 33463-3044 Ph: (786) 762-7437 |
| NPI Number | 1508507385 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508507385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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