| Momentum Aba Llc | |
|
692 Mirror Lakes Ct Lehigh Acres FL 33974-9541 | |
| (561) 543-7896 | |
| Not Available |
| Full Name | Momentum Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 692 Mirror Lakes Ct, Lehigh Acres, Florida |
| Authorized Official Name and Position | Yenny Pi Sagion (OWNER) |
| Authorized Official Contact | 5615437896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Aba Llc 692 Mirror Lakes Ct Lehigh Acres FL 33974-9541 Ph: (561) 543-7896 | Momentum Aba Llc 692 Mirror Lakes Ct Lehigh Acres FL 33974-9541 Ph: (561) 543-7896 |
| NPI Number | 1386415701 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386415701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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