| Orchard Aba, Llc | |
|
510 W 10th St Lynn Haven FL 32444-2329 | |
| (850) 815-8800 | |
| (850) 344-9900 |
| Full Name | Orchard Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 510 W 10th St, Lynn Haven, Florida |
| Authorized Official Name and Position | Aimee Roberts (OWNER) |
| Authorized Official Contact | 8508158800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Aba, Llc 751 Rhoden Cove Rd Tallahassee FL 32312-1013 Ph: (850) 815-8800 | Orchard Aba, Llc 510 W 10th St Lynn Haven FL 32444-2329 Ph: (850) 815-8800 |
| NPI Number | 1639669666 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639669666 | NPI | - | NPPES |
| 100560600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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