| Let's Do Aba Llc | |
|
1401 Se Goldtree Dr Ste 101 Port St Lucie FL 34952-7584 | |
| (772) 212-7539 | |
| (772) 673-8392 |
| Full Name | Let's Do Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1401 Se Goldtree Dr Ste 101, Port St Lucie, Florida |
| Authorized Official Name and Position | Jeisel Vazquez Rodriguez (MEMBER) |
| Authorized Official Contact | 4077168652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Let's Do Aba Llc 1401 Se Goldtree Dr Ste 101 Port St Lucie FL 34952-7584 Ph: (772) 212-7539 | Let's Do Aba Llc 1401 Se Goldtree Dr Ste 101 Port St Lucie FL 34952-7584 Ph: (772) 212-7539 |
| NPI Number | 1548929086 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548929086 | NPI | - | NPPES |
| 112941600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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