Organization
ABA MENTAL GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURAYIS CALVO FERNANDEZ (CEO)
(786) 413-0510
Entity
Organization
Contact information
Practice address
9555 SW 175TH TER # 108, PALMETTO BAY, FL 33157-5604
(786) 413-0510
Mailing address
9555 SW 175TH TER # 108, PALMETTO BAY, FL 33157-5604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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