Organization
ABC OF MIAMI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS PEREZ (BCBA/PRESIDENT)
(305) 773-4037
Entity
Organization
Contact information
Practice address
321 TO TO LO CHEE DR, HIALEAH, FL 33010-5239
(305) 773-4037
(305) 901-1797
Mailing address
321 TO TO LO CHEE DR, HIALEAH, FL 33010-5239
(305) 951-4957
(305) 901-1797
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013511900
—
FL
Enumeration date
05/24/2016
Last updated
11/20/2018
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