Organization
RADICAL ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LYNN PETRUSA BCBA (MANAGING MEMBER)
(815) 262-8466
Entity
Organization
Contact information
Practice address
2459 MAVERICK WAY, THE VILLAGES, FL 32162-5101
(815) 262-8466
Mailing address
2459 MAVERICK WAY, THE VILLAGES, FL 32162-5101
(815) 262-8466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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