Organization
INNOVATIVE MINDS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZETTE FRAGINALS ED.S (OWNER)
(305) 321-7817
Entity
Organization
Contact information
Practice address
8848 SW 211TH LN, CUTLER BAY, FL 33189
(305) 321-7817
Mailing address
8848 SW 211TH LN, CUTLER BAY, FL 33189-3124
(305) 321-7817
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
FL
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT15768
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/16/2018
Last updated
05/17/2018
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