# COUNTRY CLUB ABA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770261596
- **Authorized official:** VICTOR MANUEL ALBERTO MUNOZ (MANAGER)
- **Authorized official phone:** (786) 307-9711

## Contact information

- **Practice address:** 7838 NW 178TH ST, HIALEAH, FL 33015-3649
- **Practice address phone:** (786) 307-9711
- **Mailing address:** 6820 N AUGUSTA DR, HIALEAH, FL 33015-2118
- **Mailing address phone:** (786) 307-9711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2023
- **Last updated:** 07/11/2023