| Casa De Aba-bbm Llc | |
|
9873 Lawrence Rd Apt E206 Boynton Beach FL 33436-3817 | |
| (754) 258-7077 | |
| (570) 656-7575 |
| Full Name | Casa De Aba-bbm Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9873 Lawrence Rd Apt E206, Boynton Beach, Florida |
| Authorized Official Name and Position | Tenesha West (OWNER) |
| Authorized Official Contact | 7542587077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Aba-bbm Llc 9873 Lawrence Rd Apt E206 Boynton Beach FL 33436-3817 Ph: (754) 258-7077 | Casa De Aba-bbm Llc 9873 Lawrence Rd Apt E206 Boynton Beach FL 33436-3817 Ph: (754) 258-7077 |
| NPI Number | 1609638469 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609638469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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