| Sunflower Aba Llc | |
|
2149 Sw Fears Ave Port Saint Lucie FL 34953-4533 | |
| (561) 541-6372 | |
| (772) 353-5131 |
| Full Name | Sunflower Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2149 Sw Fears Ave, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Lisbeydi Madrigal Barcelo (OWNER) |
| Authorized Official Contact | 5615416372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Aba Llc 2149 Sw Fears Ave Port Saint Lucie FL 34953-4533 Ph: (561) 541-6372 | Sunflower Aba Llc 2149 Sw Fears Ave Port Saint Lucie FL 34953-4533 Ph: (561) 541-6372 |
| NPI Number | 1164283776 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/27/2024 |
| Certification Date | 01/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164283776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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