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Organization

VERO BEACH ABA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER DENISE BORDA BCBA (SOLE MEMBER)
(772) 291-6654
Entity
Organization

Contact information

Practice address
1985 FLORA LN, VERO BEACH, FL 32966-1033
(772) 291-6654
Mailing address
1985 FLORA LN, VERO BEACH, FL 32966-1033
(772) 291-6654

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730559808
FL
Enumeration date
10/24/2024
Last updated
10/24/2024
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