| First Light Aba Llc | |
|
210 Sw Airview Ave Port St Lucie FL 34984-4903 | |
| (772) 985-3568 | |
| Not Available |
| Full Name | First Light Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 210 Sw Airview Ave, Port St Lucie, Florida |
| Authorized Official Name and Position | Elizabeth Vargas (OWNER) |
| Authorized Official Contact | 7729853568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Light Aba Llc 210 Sw Airview Ave Port St Lucie FL 34984-4903 Ph: () - | First Light Aba Llc 210 Sw Airview Ave Port St Lucie FL 34984-4903 Ph: (772) 985-3568 |
| NPI Number | 1912745001 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912745001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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