| Aba Rocket Stars Inc | |
|
6566 O Hara Ave Boynton Beach FL 33437-3522 | |
| (305) 479-7262 | |
| Not Available |
| Full Name | Aba Rocket Stars Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6566 O Hara Ave, Boynton Beach, Florida |
| Authorized Official Name and Position | Juan Antonio Calvo Bonilla (PRESIDENT) |
| Authorized Official Contact | 3054797262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Rocket Stars Inc 6566 O Hara Ave Boynton Beach FL 33437-3522 Ph: (305) 479-7262 | Aba Rocket Stars Inc 6566 O Hara Ave Boynton Beach FL 33437-3522 Ph: (305) 479-7262 |
| NPI Number | 1114613957 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114613957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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