Organization
BLUE PATH ABA
Active
Other names
Applied Behavior Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HYNDI EDEN KHOMUTETSKY MS, BCBA (OWNER)
(407) 324-7772
Entity
Organization
Contact information
Practice address
1060 W SR 434 STE 108, LONGWOOD, FL 32750-4953
(407) 324-7772
(321) 248-0717
Mailing address
1060 W SR 434 STE 108, LONGWOOD, FL 32750-4953
(407) 324-7772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
08/29/2023
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