| Vita Kids Aba Llc | |
|
1251 Nw 187th Ave Pembroke Pines FL 33029-2978 | |
| (305) 336-0683 | |
| Not Available |
| Full Name | Vita Kids Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1251 Nw 187th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Isemili Murillo (PRESIDENT) |
| Authorized Official Contact | 3053360683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Kids Aba Llc 1251 Nw 187th Ave Pembroke Pines FL 33029-2978 Ph: (305) 336-0683 | Vita Kids Aba Llc 1251 Nw 187th Ave Pembroke Pines FL 33029-2978 Ph: (305) 336-0683 |
| NPI Number | 1225891625 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 07/26/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225891625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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