| Chrysalis Aba Therapy Corp | |
|
5180 W Atlantic Ave Suite 114 Delray Beach FL 33484-8103 | |
| (561) 674-9996 | |
| Not Available |
| Full Name | Chrysalis Aba Therapy Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5180 W Atlantic Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Beatriz E Kouracles (MANAGER) |
| Authorized Official Contact | 6174709827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Aba Therapy Corp 5180 W Atlantic Ave Ste 112 Delray Beach FL 33484-8103 Ph: (561) 359-3815 | Chrysalis Aba Therapy Corp 5180 W Atlantic Ave Suite 114 Delray Beach FL 33484-8103 Ph: (561) 674-9996 |
| NPI Number | 1760838015 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760838015 | NPI | - | NPPES |
| 017416600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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