| Kt-aba Llc | |
|
2543 Empire Ave Melbourne FL 32934-7577 | |
| (321) 323-4123 | |
| Not Available |
| Full Name | Kt-aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2543 Empire Ave, Melbourne, Florida |
| Authorized Official Name and Position | Andrew Bortzner (OWNER) |
| Authorized Official Contact | 3213234123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kt-aba Llc 2543 Empire Ave Melbourne FL 32934-7577 Ph: () - | Kt-aba Llc 2543 Empire Ave Melbourne FL 32934-7577 Ph: (321) 323-4123 |
| NPI Number | 1972256014 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/29/2022 |
| Certification Date | 01/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972256014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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