| Autism Stars Aba Inc | |
|
102 Park Place Blvd Ste C1 Kissimmee FL 34741-2358 | |
| (305) 323-0493 | |
| Not Available |
| Full Name | Autism Stars Aba Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 102 Park Place Blvd Ste C1, Kissimmee, Florida |
| Authorized Official Name and Position | Tyler Neblett (PRESIDENT) |
| Authorized Official Contact | 3053230493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Stars Aba Inc 8378 Ludington Cir Orlando FL 32836-5910 Ph: (305) 323-0493 | Autism Stars Aba Inc 102 Park Place Blvd Ste C1 Kissimmee FL 34741-2358 Ph: (305) 323-0493 |
| NPI Number | 1114790409 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114790409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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