Organization
ABA CREATIVE THERAPY CORP
Active
Other names
ABA Creative Therapy Corp
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN LOPEZ PEREZ (CEO)
(561) 809-3716
Entity
Organization
Contact information
Practice address
8040 NW 155TH ST STE 202, MIAMI LAKES, FL 33016-5880
(561) 809-3716
Mailing address
8040 NW 155TH ST STE 202, MIAMI LAKES, FL 33016-5880
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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