Organization
ABC CHILDREN BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE GOMEZ FERNANDEZ (PRESIDENT)
(786) 867-0060
Entity
Organization
Contact information
Practice address
530 SE 11TH CT, CAPE CORAL, FL 33990-2682
(786) 867-0060
Mailing address
530 SE 11TH CT, CAPE CORAL, FL 33990-2682
(786) 867-0060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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