| Imagine Aba Corp | |
|
8270 Burnt Store Rd Unit 4 Punta Gorda FL 33950-4705 | |
| (305) 213-8424 | |
| Not Available |
| Full Name | Imagine Aba Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8270 Burnt Store Rd Unit 4, Punta Gorda, Florida |
| Authorized Official Name and Position | Raymara Castro (DIRECTOR) |
| Authorized Official Contact | 3052138424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Aba Corp 8270 Burnt Store Rd Unit 4 Punta Gorda FL 33950-4705 Ph: (305) 213-8424 | Imagine Aba Corp 8270 Burnt Store Rd Unit 4 Punta Gorda FL 33950-4705 Ph: (305) 213-8424 |
| NPI Number | 1144968272 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144968272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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