Organization
THE ENGAGE ABA RESOURCE AND LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZZMYN IGLESIA MS (BCABA)
(407) 780-0177
Entity
Organization
Contact information
Practice address
13506 SUMMERPORT VILLAGE PKWY # 207, WINDERMERE, FL 34786-7366
(407) 780-0177
Mailing address
13506 SUMMERPORT VILLAGE PKWY # 207, WINDERMERE, FL 34786-7366
(407) 780-0177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0-15-6527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601834
—
FL
Enumeration date
09/23/2015
Last updated
09/23/2015
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