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Organization

ABA WINGS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIELYS MARTINEZ IZQUIERDO BCABA, SLP (MANAGER)
(646) 966-2583
Entity
Organization

Contact information

Practice address
5647 SYCAMORE CANYON DR, KISSIMMEE, FL 34758-1727
(646) 966-2583
Mailing address
5647 SYCAMORE CANYON DR, KISSIMMEE, FL 34758-1727
(646) 966-2583

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/19/2025
Last updated
11/20/2025
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