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Organization
KT-ABA LLC
Active
Organization
KT-ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BORTZNER (OWNER)
(321) 323-4123
Entity
Organization
Contact information
Practice address
2543 EMPIRE AVE, MELBOURNE, FL 32934-7577
(321) 323-4123
Mailing address
2543 EMPIRE AVE, MELBOURNE, FL 32934-7577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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