The Aba Loft | |
4273 Sw Mcclellen St Port St Lucie FL 34953-6135 | |
(772) 233-6446 | |
(772) 264-7995 |
Full Name | The Aba Loft |
---|---|
Speciality | Behavior Analyst |
Location | 4273 Sw Mcclellen St, Port St Lucie, Florida |
Authorized Official Name and Position | Shannon Simone Prince (BCBA, OWNER, FOUNDER) |
Authorized Official Contact | 5613985309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Aba Loft 4273 Sw Mcclellen St Port St Lucie FL 34953-6135 Ph: (561) 398-5309 | The Aba Loft 4273 Sw Mcclellen St Port St Lucie FL 34953-6135 Ph: (772) 233-6446 |
NPI Number | 1578391066 |
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Provider Enumeration Date | 07/25/2024 |
Last Update Date | 07/25/2024 |
Certification Date | 07/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578391066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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