Organization
YESHUA ABA SERVICES LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR M DIAZ RODRIGUEZ (MANAGER)
(786) 399-8663
Entity
Organization
Contact information
Practice address
3711 4TH AVE NE, NAPLES, FL 34120-4906
(786) 399-8663
Mailing address
3711 4TH AVE NE, NAPLES, FL 34120-4906
(786) 399-8663
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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