Autism Stars Aba Inc | |
102 Park Place Blvd Ste C1 Kissimmee FL 34741-2358 | |
(305) 323-0493 | |
Not Available |
Full Name | Autism Stars Aba Inc |
---|---|
Speciality | Behavior Analyst |
Location | 102 Park Place Blvd Ste C1, Kissimmee, Florida |
Authorized Official Name and Position | Tyler Neblett (PRESIDENT) |
Authorized Official Contact | 3053230493 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Stars Aba Inc 8378 Ludington Cir Orlando FL 32836-5910 Ph: (305) 323-0493 | Autism Stars Aba Inc 102 Park Place Blvd Ste C1 Kissimmee FL 34741-2358 Ph: (305) 323-0493 |
NPI Number | 1114790409 |
---|---|
Provider Enumeration Date | 10/30/2023 |
Last Update Date | 10/30/2023 |
Certification Date | 10/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114790409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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