| 1st Applied Behavioral Associates, Llc | |
|
12907 Bliss Loop Bradenton FL 34211-4042 | |
| (941) 229-1029 | |
| Not Available |
| Full Name | 1st Applied Behavioral Associates, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12907 Bliss Loop, Bradenton, Florida |
| Authorized Official Name and Position | Lidia Montero (AUTHORIZED MEMBER) |
| Authorized Official Contact | 9412291029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Applied Behavioral Associates, Llc Po Box 110374 Lakewood Rch FL 34211-0005 Ph: (941) 229-1029 | 1st Applied Behavioral Associates, Llc 12907 Bliss Loop Bradenton FL 34211-4042 Ph: (941) 229-1029 |
| NPI Number | 1023512076 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 03/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023512076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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