Organization · NPI-2
Advance Aba Corp
Behavior Analyst · Greenacres, FL
NPI number1508507385
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1508507385
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Aba Corp
- Organization subpart
- No
- Enumeration date
- Apr 5, 2022
- Certification date
- Apr 5, 2022
- Last updated
- Apr 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
3900 Woodlake Blvd Ste 306cGreenacres, FL 33463-3044
Phone 786-762-7437
Mailing address
3900 Woodlake Blvd Ste 306cGreenacres, FL 33463-3044
Phone 786-762-7437
Authorized official
Jose Antonio Gutierrez
President
7867627437
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