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Organization
MITA ABA
Active
Organization
MITA ABA
Active
Parent organization
RUSSIAN COMMUNITY SERVICE AND SUPPORT FOUNDATION
Other names
MitaA BA, Mita ABA
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSIAN COMMUNITY SERVICE AND SUPPORT FOUNDATION
Authorized official
MRS. TATIANA MIKHAYLOVA MS (BCBA)
(786) 540-0458
Entity
Organization
Contact information
Practice address
1720 HARRISON ST STE 5A, HOLLYWOOD, FL 33020-6839
(786) 540-0458
(754) 551-2627
Mailing address
3530 MYSTIC POINTE DR APT 608, AVENTURA, FL 33180-4526
(786) 540-0458
(754) 551-2627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO282470PT39BA-LA
—
FL
Enumeration date
01/11/2025
Last updated
06/22/2026
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