Organization
ABRACADABRA ABA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYTYSHA ANN DUPONT MS, BCBA (FOUNDER)
(321) 536-8373
Entity
Organization
Contact information
Practice address
1737 CROGHAN DR, MELBOURNE, FL 32940-6014
(321) 536-8373
Mailing address
1737 CROGHAN DR, MELBOURNE, FL 32940-6014
(321) 536-8373
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23127
FL
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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