| Infinite Grown Aba Llc | |
|
2500 Nw 79th Ave Ste 202 Doral FL 33122-1084 | |
| (561) 643-7643 | |
| Not Available |
| Full Name | Infinite Grown Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2500 Nw 79th Ave Ste 202, Doral, Florida |
| Authorized Official Name and Position | Maryabel E Morales (CEO) |
| Authorized Official Contact | 5616437643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Grown Aba Llc 2500 Nw 79th Ave Ste 202 Doral FL 33122-1084 Ph: (305) 924-8993 | Infinite Grown Aba Llc 2500 Nw 79th Ave Ste 202 Doral FL 33122-1084 Ph: (561) 643-7643 |
| NPI Number | 1992542963 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992542963 | NPI | - | NPPES |
| 123144000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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