Organization
ABA HEALING CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDEY LADRON DE GUEVARA BCBA (BCBA)
(786) 810-3656
Entity
Organization
Contact information
Practice address
13820 LAKE CLAIRE CT, MIAMI LAKES, FL 33014-3030
(786) 810-3656
Mailing address
13820 LAKE CLAIRE CT, MIAMI LAKES, FL 33014-3030
(786) 810-3656
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285189910
—
FL
Enumeration date
10/11/2021
Last updated
12/18/2023
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