Learning My Way Aba, Llc | |
1572 Timber Trace Dr St Augustine FL 32092-0757 | |
(904) 217-9531 | |
Not Available |
Full Name | Learning My Way Aba, Llc |
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Speciality | Behavior Analyst |
Location | 1572 Timber Trace Dr, St Augustine, Florida |
Authorized Official Name and Position | Marcel Douglas Lawrence (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 9042179531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Learning My Way Aba, Llc 1572 Timber Trace Dr St Augustine FL 32092-0757 Ph: (904) 217-9531 | Learning My Way Aba, Llc 1572 Timber Trace Dr St Augustine FL 32092-0757 Ph: (904) 217-9531 |
NPI Number | 1912562281 |
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Provider Enumeration Date | 05/02/2019 |
Last Update Date | 05/02/2019 |
Identifier | Type | State | Issuer |
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1912562281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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