| Village Aba Therapy Llc | |
|
743 E Tennessee St Tallahassee FL 32308-4913 | |
| (727) 421-6015 | |
| Not Available |
| Full Name | Village Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 743 E Tennessee St, Tallahassee, Florida |
| Authorized Official Name and Position | Jessica Camacho (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 7868974418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Aba Therapy Llc 743 E Tennessee St Tallahassee FL 32308-4913 Ph: (727) 421-6015 | Village Aba Therapy Llc 743 E Tennessee St Tallahassee FL 32308-4913 Ph: (727) 421-6015 |
| NPI Number | 1952099608 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952099608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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