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Organization
EASTERN STAR ABA SERVICES LLC
Active
Organization
EASTERN STAR ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARDO PEREZ COLL (MANAGEMENT MEMBER)
(201) 754-2736
Entity
Organization
Contact information
Practice address
10240 SW 56TH ST STE 111C, MIAMI, FL 33165-7066
(201) 754-2736
Mailing address
10240 SW 56TH ST STE 111C, MIAMI, FL 33165-7066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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