| Imagination Station Aba | |
|
7341 Office Park Pl Ste 107 Melbourne FL 32940-8280 | |
| (321) 961-9586 | |
| Not Available |
| Full Name | Imagination Station Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7341 Office Park Pl Ste 107, Melbourne, Florida |
| Authorized Official Name and Position | Catherine Wilson (OWNER) |
| Authorized Official Contact | 3219619586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagination Station Aba 1150 Starling Way Rockledge FL 32955-6347 Ph: (321) 961-9586 | Imagination Station Aba 7341 Office Park Pl Ste 107 Melbourne FL 32940-8280 Ph: (321) 961-9586 |
| NPI Number | 1851165989 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851165989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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