| Vivo Aba, Llc | |
|
11767 Sprawling Oak Dr Windermere FL 34786-0115 | |
| (347) 526-8156 | |
| Not Available |
| Full Name | Vivo Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11767 Sprawling Oak Dr, Windermere, Florida |
| Authorized Official Name and Position | Yakima Rose (OWNER) |
| Authorized Official Contact | 3475268156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivo Aba, Llc 11767 Sprawling Oak Dr Windermere FL 34786-0115 Ph: (347) 526-8156 | Vivo Aba, Llc 11767 Sprawling Oak Dr Windermere FL 34786-0115 Ph: (347) 526-8156 |
| NPI Number | 1447962451 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447962451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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