Organization
PEDIATRIC ABA 10 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDY CACERES ABAB (OWNER)
(786) 597-2047
Entity
Organization
Contact information
Practice address
4399 COMMONS DR E STE 100, DESTIN, FL 32541-8413
(786) 597-2047
Mailing address
4399 COMMONS DR E STE 100, DESTIN, FL 32541-8413
(786) 597-2047
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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