Organization
PEDIATRIC ABA 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDY CACERES ABABA (CEO)
(786) 597-2047
Entity
Organization
Contact information
Practice address
1901 HARRISON ST STE 203, HOLLYWOOD, FL 33020-5180
(786) 597-2047
Mailing address
1901 HARRISON ST STE 203, HOLLYWOOD, FL 33020-5180
(786) 597-2047
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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