| Colorful Breakthrough In Aba Pllc | |
|
6418 Azul St Edinburg TX 78542-0723 | |
| (956) 270-9262 | |
| (956) 394-1288 |
| Full Name | Colorful Breakthrough In Aba Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6418 Azul St, Edinburg, Texas |
| Authorized Official Name and Position | Mayra A Aguillon (CEO) |
| Authorized Official Contact | 9562709262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorful Breakthrough In Aba Pllc 21750 Hardy Oak Blvd Ste 104 Pmb 553984 San Antonio TX 78258 Ph: (956) 270-9262 | Colorful Breakthrough In Aba Pllc 6418 Azul St Edinburg TX 78542-0723 Ph: (956) 270-9262 |
| NPI Number | 1558050542 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558050542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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