Mission Momentum Aba, Inc. | |
2475 Plumadore Dr Grand Island FL 32735-9012 | |
(321) 279-2443 | |
Not Available |
Full Name | Mission Momentum Aba, Inc. |
---|---|
Speciality | Behavior Analyst |
Location | 2475 Plumadore Dr, Grand Island, Florida |
Authorized Official Name and Position | Brooke Manion (BCBA) |
Authorized Official Contact | 3212792443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mission Momentum Aba, Inc. 2475 Plumadore Dr Grand Island FL 32735-9012 Ph: (321) 279-2443 | Mission Momentum Aba, Inc. 2475 Plumadore Dr Grand Island FL 32735-9012 Ph: (321) 279-2443 |
NPI Number | 1194415612 |
---|---|
Provider Enumeration Date | 05/09/2023 |
Last Update Date | 05/09/2023 |
Certification Date | 05/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194415612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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