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Organization
MEMOREABLE ABA LLC
Active
Organization
MEMOREABLE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAVELYN MILLARD (DIRECTOR)
(239) 396-0181
Entity
Organization
Contact information
Practice address
27911 CROWN LAKE BLVD STE 200, BONITA SPRINGS, FL 34135-4218
(800) 961-3367
(800) 961-3367
Mailing address
27911 CROWN LAKE BLVD STE 200, BONITA SPRINGS, FL 34135-4218
(800) 961-3367
(800) 961-3367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/12/2025
Last updated
02/23/2026
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