Organization
ABA SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET VASQUEZ BCBA, LBA (CEO)
(305) 290-2493
Entity
Organization
Contact information
Practice address
12747 OLIVE BLVD, STE 300, SAINT LOUIS, MO 63141
(833) 490-8535
(786) 800-5433
Mailing address
PO BOX 347720, CORAL GABLES, FL 33234
(305) 735-3878
(786) 800-5433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003245387A
—
GA
05
—
500069220
—
MO
Enumeration date
05/13/2019
Last updated
04/06/2023
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