Organization
PRESTIGE ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRELYS CONCEPCION RBT-20-124181 (OWNER)
(786) 317-0100
Entity
Organization
Contact information
Practice address
2100 W 76TH ST STE 211, HIALEAH, FL 33016-5503
(786) 317-0100
(786) 490-2838
Mailing address
714 MCARTHUR AVE, LEHIGH ACRES, FL 33936-1214
(786) 317-0100
(786) 490-2838
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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