Organization
ABA FAMILY SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISKAY MANUEL SANTANA DIAZ (PRESIDENT)
(754) 610-9593
Entity
Organization
Contact information
Practice address
1400 SW 131ST WAY, PEMBROKE PINES, FL 33027-2453
(754) 610-9593
Mailing address
1400 SW 131ST WAY, PEMBROKE PINES, FL 33027-2453
(754) 610-9593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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