| Kaleidoscope Aba Services, Llc | |
|
2111 Skyline Blvd Cape Coral FL 33991-3674 | |
| (904) 229-5600 | |
| Not Available |
| Full Name | Kaleidoscope Aba Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2111 Skyline Blvd, Cape Coral, Florida |
| Authorized Official Name and Position | Matthew M. Williamson (CEO) |
| Authorized Official Contact | 8175424755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Aba Services, Llc 1205 Huntington Cove Ct Granbury TX 76048-1246 Ph: (817) 542-4755 | Kaleidoscope Aba Services, Llc 2111 Skyline Blvd Cape Coral FL 33991-3674 Ph: (904) 229-5600 |
| NPI Number | 1578341186 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578341186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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