Organization
APPLIED BEHAVIORAL SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIORELI DE LA VEGA (OWNER)
(954) 600-1709
Entity
Organization
Contact information
Practice address
660 FALLING WATER RD, WESTON, FL 33326-3551
(954) 600-1709
(954) 206-0789
Mailing address
660 FALLING WATER RD, WESTON, FL 33326-3551
(954) 600-1709
(954) 206-0789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/21/2022
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