Aba Community Therapy Corp
Behavior Analyst in Fort Myers, FL. Organization (NPI-2).
NPI number1700369626
StatusActive
Last updated in NPPESJun 10, 2019
Details
- NPI
- 1700369626
- Entity type
- Organization (NPI-2)
- Legal business name
- Aba Community Therapy Corp
- Organization subpart
- No
- Enumeration date
- Sep 7, 2018
- Last updated
- Jun 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | FL | Yes |
Practice location
12995 S Cleveland Ave Ste 172Fort Myers, FL 33907-3841
Phone 239-201-7704 · Fax 239-236-1778
Mailing address
12995 S Cleveland Ave Ste 172Fort Myers, FL 33907-3841
Phone 239-201-7704 · Fax 239-236-1778
Authorized official
Ramon Valentin Grillo Gonzalez
Owner
2392017704
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