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Organization
ABA FOR CHILDREN
Active
Organization
ABA FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE VIVAS (CLINICAL DIRECTOR)
(786) 942-4099
Entity
Organization
Contact information
Practice address
5232 NW 112TH PL, DORAL, FL 33178-3503
(786) 942-4099
Mailing address
5232 NW 112TH PL, DORAL, FL 33178-3503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/21/2022
Last updated
01/05/2023
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