| Mod Behavior Aba, Llc | |
|
9815 Cross Pine Ct Lake Worth FL 33467-2367 | |
| (954) 856-7806 | |
| Not Available |
| Full Name | Mod Behavior Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9815 Cross Pine Ct, Lake Worth, Florida |
| Authorized Official Name and Position | Taylour Leah Musto (CEO/BCBA) |
| Authorized Official Contact | 9548567806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mod Behavior Aba, Llc 9815 Cross Pine Ct Lake Worth FL 33467-2367 Ph: (954) 856-7806 | Mod Behavior Aba, Llc 9815 Cross Pine Ct Lake Worth FL 33467-2367 Ph: (954) 856-7806 |
| NPI Number | 1902490642 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902490642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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