| Abaswf Of Texas Corp | |
|
6660 Estero Blvd Unit B404 Fort Myers Beach FL 33931 | |
| (239) 628-6999 | |
| Not Available |
| Full Name | Abaswf Of Texas Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6660 Estero Blvd, Fort Myers Beach, Florida |
| Authorized Official Name and Position | Sucel Tejeda (OWNER) |
| Authorized Official Contact | 2396286999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abaswf Of Texas Corp 5318 Weslayan St Ste 103 Houston TX 77005-1048 Ph: (239) 628-6999 | Abaswf Of Texas Corp 6660 Estero Blvd Unit B404 Fort Myers Beach FL 33931 Ph: (239) 628-6999 |
| NPI Number | 1760119689 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760119689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Fenix Behavior Therapy Co. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6660 Estero Blvd Unit B404, Fort Myers Beach, FL 33931 Phone: 239-628-6999 | |
Sulan Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6660 Estero Blvd Apt B404, Fort Myers Beach, FL 33931 Phone: 239-628-6999 |