| Reaching Stars Aba Llc | |
|
15800 Pines Blvd Ste 350 Pembroke Pines FL 33027-1212 | |
| (305) 720-5627 | |
| Not Available |
| Full Name | Reaching Stars Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15800 Pines Blvd Ste 350, Pembroke Pines, Florida |
| Authorized Official Name and Position | Yesenia Hernandez (PRESIDENT) |
| Authorized Official Contact | 3057205627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reaching Stars Aba Llc 16896 Sw 51st St Miramar FL 33027-4918 Ph: (305) 720-5627 | Reaching Stars Aba Llc 15800 Pines Blvd Ste 350 Pembroke Pines FL 33027-1212 Ph: (305) 720-5627 |
| NPI Number | 1295503019 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295503019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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