| Country Club Aba Services Llc | |
|
7838 Nw 178th St Hialeah FL 33015-3649 | |
| (786) 307-9711 | |
| Not Available |
| Full Name | Country Club Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7838 Nw 178th St, Hialeah, Florida |
| Authorized Official Name and Position | Victor Manuel Alberto Munoz (MANAGER) |
| Authorized Official Contact | 7863079711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Club Aba Services Llc 6820 N Augusta Dr Hialeah FL 33015-2118 Ph: (786) 307-9711 | Country Club Aba Services Llc 7838 Nw 178th St Hialeah FL 33015-3649 Ph: (786) 307-9711 |
| NPI Number | 1770261596 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770261596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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