| My Ba Therapy Center Inc. | |
|
217 E Oak St Kissimmee FL 34744-4503 | |
| (407) 385-0728 | |
| (407) 386-8988 |
| Full Name | My Ba Therapy Center Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 217 E Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Carl Anthony De Nobrega (OWNER) |
| Authorized Official Contact | 4073850728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Ba Therapy Center Inc. 8378 Ludington Cir Orlando FL 32836-5910 Ph: (407) 385-0728 | My Ba Therapy Center Inc. 217 E Oak St Kissimmee FL 34744-4503 Ph: (407) 385-0728 |
| NPI Number | 1962167890 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962167890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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