| Jehova Jireh Aba Services Llc | |
|
152 Se 19th Ter Cape Coral FL 33990-2247 | |
| (305) 440-7162 | |
| Not Available |
| Full Name | Jehova Jireh Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 152 Se 19th Ter, Cape Coral, Florida |
| Authorized Official Name and Position | Jennifer Gomez (MANAGER) |
| Authorized Official Contact | 3054407162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jehova Jireh Aba Services Llc 152 Se 19th Ter Cape Coral FL 33990-2247 Ph: (305) 440-7162 | Jehova Jireh Aba Services Llc 152 Se 19th Ter Cape Coral FL 33990-2247 Ph: (305) 440-7162 |
| NPI Number | 1164154415 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164154415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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