| Early Ba Llc | |
|
2488 W 64th Pl Hialeah FL 33016-4386 | |
| (800) 987-1209 | |
| (305) 647-2160 |
| Full Name | Early Ba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2488 W 64th Pl, Hialeah, Florida |
| Authorized Official Name and Position | Edwell Lima (MGR) |
| Authorized Official Contact | 7864873209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Ba Llc 2488 W 64th Pl Hialeah FL 33016-4386 Ph: (800) 987-1209 | Early Ba Llc 2488 W 64th Pl Hialeah FL 33016-4386 Ph: (800) 987-1209 |
| NPI Number | 1760914881 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760914881 | NPI | - | NPPES |
| 020445900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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