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Organization
ABA WINGS INC
Active
Organization
ABA WINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELYS MARTINEZ IZQUIERDO BCABA, SLP (MANAGER)
(646) 966-2583
Entity
Organization
Contact information
Practice address
5647 SYCAMORE CANYON DR, KISSIMMEE, FL 34758-1727
(646) 966-2583
Mailing address
5647 SYCAMORE CANYON DR, KISSIMMEE, FL 34758-1727
(646) 966-2583
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/20/2025
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