Organization
ABA BLUE DINO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEBY GARCIA DE VILLIERS (OWNER)
(786) 234-7035
Entity
Organization
Contact information
Practice address
7700 N KENDALL DR STE 300G, MIAMI, FL 33156-7559
(786) 234-7035
Mailing address
14321 SW 88TH ST # STMF112, MIAMI, FL 33186-1196
(786) 234-7035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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