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Organization
PEDIATRIC INSTITUTE FOR ABA LLC
Active
Organization
PEDIATRIC INSTITUTE FOR ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLARK MSN (CEO)
(844) 550-7337
Entity
Organization
Contact information
Practice address
1002 SE MONTEREY COMMONS BLVD STE 203, STUART, FL 34996-3357
(844) 550-7337
(772) 264-9820
Mailing address
1002 SE MONTEREY COMMONS BLVD STE 203, STUART, FL 34996-3357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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