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Organization
ABA THERAPY NEAR ME LLC
Active
Organization
ABA THERAPY NEAR ME LLC
Active
Other names
ABA Therapy Near Me LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL SIERRA SR. (PRESIDENT)
(786) 865-1178
Entity
Organization
Contact information
Practice address
2523 US HIGHWAY 27 S STE 201, AVON PARK, FL 33825-9690
(786) 865-1178
Mailing address
2523 US HIGHWAY 27 S STE 201, AVON PARK, FL 33825-9690
(786) 865-1178
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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