| Divino Aba Services, Llc | |
|
9405 Barnstead Ln Port Richey FL 34668-4302 | |
| (727) 967-2809 | |
| Not Available |
| Full Name | Divino Aba Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9405 Barnstead Ln, Port Richey, Florida |
| Authorized Official Name and Position | Barbara Divino (PRESIDENT) |
| Authorized Official Contact | 7279672809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divino Aba Services, Llc 9405 Barnstead Ln Port Richey FL 34668-4302 Ph: (727) 967-2809 | Divino Aba Services, Llc 9405 Barnstead Ln Port Richey FL 34668-4302 Ph: (727) 967-2809 |
| NPI Number | 1124510227 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124510227 | NPI | - | NPPES |
| 1811347248 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | L16000187015 (Florida) | Primary |
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