Organization
APPLIED BEHAVIOR SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA H PENA (OWNER)
(786) 899-3192
Entity
Organization
Contact information
Practice address
12985 SW 130TH CT UNIT 108-2, MIAMI, FL 33186-5312
(786) 899-3192
Mailing address
12345 SW 20TH TER, MIAMI, FL 33175-7710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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