| Mindful Aba Services Llc | |
|
3014 W Lawn Ave Tampa FL 33611-1649 | |
| (954) 305-4201 | |
| Not Available |
| Full Name | Mindful Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3014 W Lawn Ave, Tampa, Florida |
| Authorized Official Name and Position | Coral Meir (BCBA) |
| Authorized Official Contact | 9543054201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Aba Services Llc 3014 W Lawn Ave Tampa FL 33611-1649 Ph: (954) 305-4201 | Mindful Aba Services Llc 3014 W Lawn Ave Tampa FL 33611-1649 Ph: (954) 305-4201 |
| NPI Number | 1164011482 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164011482 | NPI | - | NPPES |
| 105592400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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