| Imagine Aba Corp | |
|
18245 Paulson Dr Ste Vp-50 Port Charlotte FL 33954-1019 | |
| (305) 213-8424 | |
| Not Available |
| Full Name | Imagine Aba Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18245 Paulson Dr Ste Vp-50, Port Charlotte, Florida |
| Authorized Official Name and Position | Raymara Castro (OWNER) |
| Authorized Official Contact | 3052138424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Aba Corp 18245 Paulson Dr Ste Vp-50 Port Charlotte FL 33954-1019 Ph: () - | Imagine Aba Corp 18245 Paulson Dr Ste Vp-50 Port Charlotte FL 33954-1019 Ph: (305) 213-8424 |
| NPI Number | 1538804653 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538804653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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