| Nextgen Aba | |
|
5100 W Copans Rd Ste 300 Margate FL 33063-7700 | |
| (954) 825-3317 | |
| Not Available |
| Full Name | Nextgen Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5100 W Copans Rd Ste 300, Margate, Florida |
| Authorized Official Name and Position | Theodis Fulmore (OWNER) |
| Authorized Official Contact | 9548253317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nextgen Aba 5100 W Copans Rd Ste 300 Margate FL 33063-7700 Ph: (954) 825-3317 | Nextgen Aba 5100 W Copans Rd Ste 300 Margate FL 33063-7700 Ph: (954) 825-3317 |
| NPI Number | 1801615844 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801615844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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