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Organization
UPTOWN ROOTS ABA LLC
Active
Organization
UPTOWN ROOTS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIEDASIEL LUGO BCBA (OWNER/BCBA)
(407) 860-1368
Entity
Organization
Contact information
Practice address
1195 LYCASTE DR, DAVENPORT, FL 33837-9042
(407) 860-1368
Mailing address
1195 LYCASTE DR, DAVENPORT, FL 33837-9042
(407) 860-1368
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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