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Organization
ABA CREATIVE THERAPY CORP
Active
Organization
ABA CREATIVE THERAPY CORP
Active
Other names
ABA Creative Therapy Corp
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN LOPEZ PEREZ (CEO)
(561) 809-3716
Entity
Organization
Contact information
Practice address
8040 NW 155TH ST STE 202, MIAMI LAKES, FL 33016-5880
(561) 809-3716
Mailing address
8040 NW 155TH ST STE 202, MIAMI LAKES, FL 33016-5880
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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