| Bubbles Aba, Llc | |
|
125 Beachside Dr Ponte Vedra Beach FL 32082-4544 | |
| (480) 375-1122 | |
| Not Available |
| Full Name | Bubbles Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 125 Beachside Dr, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Madison Przydzial (BCBA, FOUNDER) |
| Authorized Official Contact | 4803751122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bubbles Aba, Llc Po Box 2231 Ponte Vedra Beach FL 32004-2231 Ph: () - | Bubbles Aba, Llc 125 Beachside Dr Ponte Vedra Beach FL 32082-4544 Ph: (480) 375-1122 |
| NPI Number | 1922721950 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 10/30/2022 |
| Certification Date | 10/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922721950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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