Organization
ADVANCE BEHAVIOR INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LUIS MACEDA (OWNER)
(786) 357-7808
Entity
Organization
Contact information
Practice address
3820 COLONIAL BLVD STE 200, FORT MYERS, FL 33966-1094
(786) 357-7808
Mailing address
3820 COLONIAL BLVD STE 200, FORT MYERS, FL 33966-1094
(786) 357-7808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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