| Making A Difference Aba Llc | |
|
1037 Keenwicke Dr Lake Mary FL 32746-1929 | |
| (407) 461-5239 | |
| Not Available |
| Full Name | Making A Difference Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1037 Keenwicke Dr, Lake Mary, Florida |
| Authorized Official Name and Position | Abigail Hanson (MGR) |
| Authorized Official Contact | 4074615239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Making A Difference Aba Llc 1037 Keenwicke Dr Lake Mary FL 32746-1929 Ph: (407) 461-5239 | Making A Difference Aba Llc 1037 Keenwicke Dr Lake Mary FL 32746-1929 Ph: (407) 461-5239 |
| NPI Number | 1619707379 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619707379 | NPI | - | NPPES |
| 1205376407 | Other | FL | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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