Organization
ANGELS BEHAVIORAL ASSISTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENIS BOMPART (OWNER)
(305) 979-6706
Entity
Organization
Contact information
Practice address
5334 CORAL VINE LN, KISSIMMEE, FL 34758-2288
(305) 979-6706
Mailing address
5334 CORAL VINE LN, KISSIMMEE, FL 34758-2288
(305) 979-6706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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