Organization
ABUNDANT ABILITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKETRA MILLER-JOHNSON (OWNER)
(954) 590-0647
Entity
Organization
Contact information
Practice address
4052 EASTRIDGE CIR, POMPANO BEACH, FL 33064-1844
(954) 590-0647
Mailing address
4052 EASTRIDGE CIR, POMPANO BEACH, FL 33064-1844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010797300
—
FL
Enumeration date
05/23/2016
Last updated
05/23/2016
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