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Organization
GROW WELL ABA, LLC
Active
Organization
GROW WELL ABA, LLC
Active
Other names
Grow Well ABA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELENA DANEA JENKINS MS, BCBA (OWNER)
(904) 434-0785
Entity
Organization
Contact information
Practice address
3402 PARSON CT, JACKSONVILLE, FL 32223-7337
(904) 434-0785
Mailing address
3402 PARSON CT FL 32223, JACKSONVILLE, FL 32223-7337
(904) 323-1782
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245735711
—
FL
05
—
1821619438
—
FL
Enumeration date
05/05/2020
Last updated
06/21/2024
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