| Aba Phoenix & Managment Llc | |
|
6104 Pierce St Hollywood FL 33024-7944 | |
| (954) 907-0881 | |
| Not Available |
| Full Name | Aba Phoenix & Managment Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6104 Pierce St, Hollywood, Florida |
| Authorized Official Name and Position | Michael David Cruz (PRESIDENT) |
| Authorized Official Contact | 9549070881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Phoenix & Managment Llc 6104 Pierce St Hollywood FL 33024-7944 Ph: (954) 907-0881 | Aba Phoenix & Managment Llc 6104 Pierce St Hollywood FL 33024-7944 Ph: (954) 907-0881 |
| NPI Number | 1053009662 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053009662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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