| Cja Support Care Services, Llc | |
|
809 E Oak St Suite 105 Kissimmee FL 34744-5834 | |
| (407) 483-9520 | |
| (407) 483-9551 |
| Full Name | Cja Support Care Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 809 E Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Carmen Joan Aponte (AGENCY DIRECTOR) |
| Authorized Official Contact | 4074839520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cja Support Care Services, Llc 809 E Oak St Suite 105 Kissimmee FL 34744-5834 Ph: (407) 483-9520 | Cja Support Care Services, Llc 809 E Oak St Suite 105 Kissimmee FL 34744-5834 Ph: (407) 483-9520 |
| NPI Number | 1609249713 |
|---|---|
| Provider Enumeration Date | 11/11/2015 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609249713 | NPI | - | NPPES |
| 684629796 | Medicaid | FL |
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