| Aba Foundations | |
|
1765 Sw Captains Pl Palm City FL 34990-1747 | |
| (772) 266-8727 | |
| (772) 494-7093 |
| Full Name | Aba Foundations |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1765 Sw Captains Pl, Palm City, Florida |
| Authorized Official Name and Position | Brenda Liner (OFFICE MANAGER) |
| Authorized Official Contact | 7722668727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Foundations 1765 Sw Captains Pl Palm City FL 34990-1747 Ph: (772) 266-8727 | Aba Foundations 1765 Sw Captains Pl Palm City FL 34990-1747 Ph: (772) 266-8727 |
| NPI Number | 1306244801 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 04/03/2020 |
| Certification Date | 04/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306244801 | NPI | - | NPPES |
| 024404900 | Medicaid | FL | |
| 024404901 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 1031181 (Florida) | Secondary |
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