Organization
ABA THERAPY NEAR ME LLC
Active
Other names
ABA Therapy Near Me LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL SIERRA SR. (PRESIDENT)
(786) 865-1178
Entity
Organization
Contact information
Practice address
2523 US HIGHWAY 27 S STE 201, AVON PARK, FL 33825-9690
(786) 865-1178
Mailing address
2523 US HIGHWAY 27 S STE 201, AVON PARK, FL 33825-9690
(786) 865-1178
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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