| Blue Star Aba Therapy, Llc | |
|
12985 Sw 130th Ct # 107-4 Miami FL 33186-5312 | |
| (305) 979-6788 | |
| Not Available |
| Full Name | Blue Star Aba Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12985 Sw 130th Ct # 107-4, Miami, Florida |
| Authorized Official Name and Position | Anabel Infante Rocubert (CEO) |
| Authorized Official Contact | 3059796788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Star Aba Therapy, Llc 12985 Sw 130th Ct # 107-4 Miami FL 33186-5312 Ph: (305) 979-6788 | Blue Star Aba Therapy, Llc 12985 Sw 130th Ct # 107-4 Miami FL 33186-5312 Ph: (305) 979-6788 |
| NPI Number | 1295595320 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295595320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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