Indigo Minds Aba LLC
Behavior Technician in Orlando, FL. Organization (NPI-2).
NPI number1548043375
StatusActive
Last updated in NPPESAug 15, 2023
Details
- NPI
- 1548043375
- Entity type
- Organization (NPI-2)
- Legal business name
- Indigo Minds Aba LLC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2023
- Certification date
- Aug 15, 2023
- Last updated
- Aug 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4115 S Semoran Blvd Apt 16Orlando, FL 32822-2427
Phone 407-515-0189
Mailing address
4115 S Semoran Blvd Apt 16Orlando, FL 32822-2427
Phone 407-515-0189
Authorized official
Luisa M Paredes Jimenez
Mgrm
4075150189
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