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Organization
VILLAGE ABA THERAPY LLC
Active
Organization
VILLAGE ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CAMACHO BCBA (CLINICAL SUPERVISOR)
(786) 897-4418
Entity
Organization
Contact information
Practice address
743 E TENNESSEE ST, TALLAHASSEE, FL 32308-4913
(727) 421-6015
Mailing address
743 E TENNESSEE ST, TALLAHASSEE, FL 32308-4913
(727) 421-6015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
07/31/2023
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