| Fundamental Aba Therapy,llc | |
|
8053 W Oakland Park Blvd Ste 950 Sunrise FL 33351-1162 | |
| (754) 422-2165 | |
| Not Available |
| Full Name | Fundamental Aba Therapy,llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8053 W Oakland Park Blvd Ste 950, Sunrise, Florida |
| Authorized Official Name and Position | Nicole Phillips (MANAGER) |
| Authorized Official Contact | 7544222165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fundamental Aba Therapy,llc 5529 Nw 90th Ave Sunrise FL 33351-7776 Ph: (754) 422-2165 | Fundamental Aba Therapy,llc 8053 W Oakland Park Blvd Ste 950 Sunrise FL 33351-1162 Ph: (754) 422-2165 |
| NPI Number | 1609463298 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 11/28/2022 |
| Certification Date | 02/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609463298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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