| Desoto Aba Services Corp | |
|
223 Taylor St Ste 127 Punta Gorda FL 33950-4453 | |
| (239) 286-8242 | |
| Not Available |
| Full Name | Desoto Aba Services Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 223 Taylor St Ste 127, Punta Gorda, Florida |
| Authorized Official Name and Position | Yanexis Portilla (OWNER) |
| Authorized Official Contact | 2392868242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Aba Services Corp 223 Taylor St Ste 127 Punta Gorda FL 33950-4453 Ph: (239) 286-8242 | Desoto Aba Services Corp 223 Taylor St Ste 127 Punta Gorda FL 33950-4453 Ph: (239) 286-8242 |
| NPI Number | 1053174334 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053174334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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