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Organization

ABA WAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAQUEL SUAREZ (DIRECTOR OF OPERATIONS)
(305) 216-8076
Entity
Organization

Contact information

Practice address
2700 S FLORIDA AVE, LAKELAND, FL 33803-3863
(863) 808-7790
(863) 250-1812
Mailing address
4937 US HIGHWAY 98 N STE 812, LAKELAND, FL 33809-3610
(305) 216-8076
(863) 250-1812

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/01/2024
Last updated
05/14/2024
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