Organization
BLUE UP ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINA HERNANDEZ (CEO)
(561) 618-6147
Entity
Organization
Contact information
Practice address
1004 W LINEBAUGH AVE # A1, TAMPA, FL 33612-7837
(561) 618-6147
Mailing address
1004 W LINEBAUGH AVE # A1, TAMPA, FL 33612-7837
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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