| Radiant Life Aba, Llc | |
|
3551 Everglades Rd Palm Beach Gardens FL 33410-2312 | |
| (561) 613-7576 | |
| Not Available |
| Full Name | Radiant Life Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3551 Everglades Rd, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Diana Breud (CEO) |
| Authorized Official Contact | 5616137576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Life Aba, Llc 3551 Everglades Rd Palm Beach Gardens FL 33410-2312 Ph: () - | Radiant Life Aba, Llc 3551 Everglades Rd Palm Beach Gardens FL 33410-2312 Ph: (561) 613-7576 |
| NPI Number | 1356117600 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356117600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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