Organization
ABA PRIME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AGNELIO ARTILES NUNEZ (PRESIDENT)
(239) 691-7202
Entity
Organization
Contact information
Practice address
1412 NW 10TH AVE, CAPE CORAL, FL 33993-6009
(239) 691-7202
Mailing address
1412 NW 10TH AVE, CAPE CORAL, FL 33993-6009
(239) 691-7202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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