My Ba Therapy Center Inc. | |
207 Park Place Blvd Ste 2 Kissimmee FL 34741-2373 | |
(407) 385-0728 | |
(407) 386-8988 |
Full Name | My Ba Therapy Center Inc. |
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Speciality | Behavior Analyst |
Location | 207 Park Place Blvd Ste 2, Kissimmee, Florida |
Authorized Official Name and Position | Carl De Nobrega (PRESIDENT/OWNER) |
Authorized Official Contact | 3059103247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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My Ba Therapy Center Inc. 8378 Ludington Cir Orlando FL 32836-5910 Ph: (407) 352-5279 | My Ba Therapy Center Inc. 207 Park Place Blvd Ste 2 Kissimmee FL 34741-2373 Ph: (407) 385-0728 |
NPI Number | 1326588781 |
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Provider Enumeration Date | 03/06/2017 |
Last Update Date | 01/31/2025 |
Certification Date | 01/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326588781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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