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Organization

ABA THERAPY SERVICES RA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIAN RODRIGUEZ ALFONSO (CEO)
(786) 444-0963
Entity
Organization

Contact information

Practice address
9555 SW 175TH TER STE 619, PALMETTO BAY, FL 33157-5604
(786) 444-0963
Mailing address
9555 SW 175TH TER STE 619, PALMETTO BAY, FL 33157-5604

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/01/2024
Last updated
08/01/2024
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