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Organization
MOD BEHAVIOR ABA, LLC
Active
Organization
MOD BEHAVIOR ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAYLOUR LEAH MUSTO BCBA (CEO/BCBA)
(954) 856-7806
Entity
Organization
Contact information
Practice address
9815 CROSS PINE CT, LAKE WORTH, FL 33467-2367
(954) 856-7806
Mailing address
9815 CROSS PINE CT, LAKE WORTH, FL 33467-2367
(954) 856-7806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
09/23/2021
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