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Organization
BLUE PATH ABA
Active
Organization
BLUE PATH ABA
Active
Other names
Applied Behavior Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HYNDI EDEN KHOMUTETSKY MS, BCBA (OWNER)
(407) 324-7772
Entity
Organization
Contact information
Practice address
1060 W SR 434 STE 108, LONGWOOD, FL 32750-4953
(407) 324-7772
(321) 248-0717
Mailing address
1060 W SR 434 STE 108, LONGWOOD, FL 32750-4953
(407) 324-7772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
08/29/2023
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