| Mission Momentum Aba, Inc. | |
|
2475 Plumadore Dr Grand Island FL 32735-9012 | |
| (321) 279-2443 | |
| Not Available |
| Full Name | Mission Momentum Aba, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2475 Plumadore Dr, Grand Island, Florida |
| Authorized Official Name and Position | Brooke Manion (BCBA) |
| Authorized Official Contact | 3212792443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Momentum Aba, Inc. 2475 Plumadore Dr Grand Island FL 32735-9012 Ph: (321) 279-2443 | Mission Momentum Aba, Inc. 2475 Plumadore Dr Grand Island FL 32735-9012 Ph: (321) 279-2443 |
| NPI Number | 1194415612 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194415612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |