Organization · NPI-2

Aba Kids Connection INC

Clinic/Center · Tampa, FL

NPI number1265214837
StatusActive
Last updated in NPPESSep 4, 2024

Details

NPI
1265214837
Entity type
Organization (NPI-2)
Legal business name
Aba Kids Connection INC
Organization subpart
No
Enumeration date
Oct 18, 2023
Certification date
Sep 4, 2024
Last updated
Sep 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

4236 W Linebaugh Ave
Tampa, FL 33624-5241

Phone 813-557-1525 · Fax 813-435-2015

Mailing address

4236 W Linebaugh Ave
Tampa, FL 33624-5241

Phone 813-557-1525 · Fax 813-435-2015

Authorized official

Yanelis Leyva Machado
Owner
8135571525

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Tampa, FL