Organization
AGENCY OF BEHAVIORAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA M HERNANDEZ BCBA (CEO)
(786) 468-1087
Entity
Organization
Contact information
Practice address
2977 GOODLETTE-FRANK RD N STE 14, NAPLES, FL 34103-4613
(786) 468-1087
Mailing address
2977 GOODLETTE-FRANK RD N STE 14, NAPLES, FL 34103-4613
(786) 468-1087
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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