Organization
ABA AUTISM THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA PETRAKI OWNER (BCBA)
(305) 709-8974
Entity
Organization
Contact information
Practice address
2054 VISTA PKWY STE 413, WEST PALM BEACH, FL 33411-6741
(772) 979-2344
Mailing address
10701 SW GLORIANA ST, PORT SAINT LUCIE, FL 34987-4706
(772) 979-2344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/12/2024
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