| The Village Aba, Llc | |
|
133 Hospital Dr Ne Fort Walton Beach FL 32548-5063 | |
| (850) 533-9156 | |
| (850) 347-2029 |
| Full Name | The Village Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 133 Hospital Dr Ne, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Micah Terrell Sutton (PRESIDENT) |
| Authorized Official Contact | 8505339156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Aba, Llc Po Box 6105 Navarre FL 32566-1705 Ph: (850) 533-9156 | The Village Aba, Llc 133 Hospital Dr Ne Fort Walton Beach FL 32548-5063 Ph: (850) 533-9156 |
| NPI Number | 1467153338 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467153338 | NPI | - | NPPES |
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