Organization
ABA PROFESSIONAL GROUP
Active
Organization
ABA PROFESSIONAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONOR TORRES ENRIQUEZ L.M.F.T (ADMINISTRATOR)
(786) 271-4454
Entity
Organization
Contact information
Practice address
2805 SW 139TH AVE, MIAMI, FL 33175-6511
(786) 271-7713
Mailing address
2805 SW 139TH AVE, MIAMI, FL 33175-6511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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