Organization
CHRYSALIS ABA THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ E KOURACLES MBA, BCBA, LBA, IBA (MANAGER)
(617) 470-9827
Entity
Organization
Contact information
Practice address
5180 W ATLANTIC AVE, SUITE 114, DELRAY BEACH, FL 33484-8103
(561) 674-9996
Mailing address
5180 W ATLANTIC AVE STE 112, DELRAY BEACH, FL 33484-8103
(561) 359-3815
(561) 816-4315
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017416600
—
FL
Enumeration date
05/05/2016
Last updated
04/02/2024
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