Organization
VICTORIA ABA THERAPHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONAIDIS CARRASCO PEREZ (OWNER)
(786) 447-4586
Entity
Organization
Contact information
Practice address
1408 N KILLIAN DR STE 107A, LAKE PARK, FL 33403-1960
(786) 447-4586
Mailing address
1408 N KILLIAN DR STE 107A, LAKE PARK, FL 33403-1960
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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