| Optimal Aba Services Llc | |
|
1659 Shepherd Lane Intercession City FL 33848 | |
| (407) 561-6542 | |
| Not Available |
| Full Name | Optimal Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1659 Shepherd Lane, Intercession City, Florida |
| Authorized Official Name and Position | Diane Villavicencio (OWNER) |
| Authorized Official Contact | 4075616542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Aba Services Llc Po Box 1091 Intercession City FL 33848-1091 Ph: (305) 546-5466 | Optimal Aba Services Llc 1659 Shepherd Lane Intercession City FL 33848 Ph: (407) 561-6542 |
| NPI Number | 1184566770 |
|---|---|
| Provider Enumeration Date | 04/06/2026 |
| Last Update Date | 04/06/2026 |
| Certification Date | 03/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184566770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |