| Blue Horizon Aba Llc | |
|
8950 Sw 152nd St Ste 112 Palmetto Bay FL 33157-2066 | |
| (786) 432-0829 | |
| (786) 513-3333 |
| Full Name | Blue Horizon Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8950 Sw 152nd St Ste 112, Palmetto Bay, Florida |
| Authorized Official Name and Position | Gabriel Lopez (PRESIDENT) |
| Authorized Official Contact | 7866785060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Horizon Aba Llc 8950 Sw 152nd St Ste 112 Palmetto Bay FL 33157-2066 Ph: (786) 432-0829 | Blue Horizon Aba Llc 8950 Sw 152nd St Ste 112 Palmetto Bay FL 33157-2066 Ph: (786) 432-0829 |
| NPI Number | 1568161487 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568161487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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