| Blaze Aba, Llc | |
|
30192 Armenia Rd Leesburg FL 34748-8454 | |
| (239) 465-8663 | |
| Not Available |
| Full Name | Blaze Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 30192 Armenia Rd, Leesburg, Florida |
| Authorized Official Name and Position | Dawenn Dorgile (OWNER/BCBA) |
| Authorized Official Contact | 2394658663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaze Aba, Llc 30192 Armenia Rd Leesburg FL 34748-8454 Ph: (239) 465-8663 | Blaze Aba, Llc 30192 Armenia Rd Leesburg FL 34748-8454 Ph: (239) 465-8663 |
| NPI Number | 1932935079 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932935079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Kenneth Henschel, Md, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10123 Us Highway 441, Leesburg, FL 34788 Phone: 352-901-6288 | |
Lindsay Campbell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32939 Merrill Rd, Leesburg, FL 34788 Phone: 352-636-9886 | |
Serenity Of Central Florida P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 W Dixie Ave, Leesburg, FL 34748 Phone: 352-577-8197 Fax: 352-577-8741 | |
Central Florida Psychological Consultants Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1114 W Dixie Ave, Leesburg, FL 34748 Phone: 352-365-2243 Fax: 352-365-2285 | |
Leesburg Regional Medical Center Physician Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 523-594-0827 Fax: 352-323-5039 | |
Fst Behavioral Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 S 9th St, Leesburg, FL 34748 Phone: 800-378-7597 | |
Alisa Grove Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4408 Bedford Way, Leesburg, FL 34748 Phone: 407-421-2031 Fax: 407-604-6497 |