| Mk Aba, Llc | |
|
2401 N Harbor City Blvd Melbourne FL 32935-6657 | |
| (321) 254-0313 | |
| Not Available |
| Full Name | Mk Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2401 N Harbor City Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Melissa Knoll (OWNER AND DIRECTOR) |
| Authorized Official Contact | 3219603986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mk Aba, Llc 271 Mcclain Dr West Melbourne FL 32904-5105 Ph: (321) 960-3986 | Mk Aba, Llc 2401 N Harbor City Blvd Melbourne FL 32935-6657 Ph: (321) 254-0313 |
| NPI Number | 1720667173 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720667173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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