Organization
ADVANCE ABA & PSYCHOTEREAPHY SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIODANIS RODRIGUEZ (AR)
(561) 674-4357
Entity
Organization
Contact information
Practice address
2808 58TH ST W, LEHIGH ACRES, FL 33971-5802
(561) 674-4357
Mailing address
2808 58TH ST W, LEHIGH ACRES, FL 33971-5802
(561) 674-4357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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