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Organization
IMAGINATION STATION ABA
Active
Organization
IMAGINATION STATION ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE WILSON BCBA (OWNER)
(321) 961-9586
Entity
Organization
Contact information
Practice address
7341 OFFICE PARK PL STE 107, MELBOURNE, FL 32940-8280
(321) 961-9586
Mailing address
1150 STARLING WAY, ROCKLEDGE, FL 32955-6347
(321) 961-9586
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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