My Ba Therapy Center Inc. | |
217 E Oak St Kissimmee FL 34744-4503 | |
(407) 385-0728 | |
(407) 386-8988 |
Full Name | My Ba Therapy Center Inc. |
---|---|
Speciality | Behavior Analyst |
Location | 217 E Oak St, Kissimmee, Florida |
Authorized Official Name and Position | Carl Anthony De Nobrega (OWNER) |
Authorized Official Contact | 4073850728 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Ba Therapy Center Inc. 8378 Ludington Cir Orlando FL 32836-5910 Ph: (407) 385-0728 | My Ba Therapy Center Inc. 217 E Oak St Kissimmee FL 34744-4503 Ph: (407) 385-0728 |
NPI Number | 1962167890 |
---|---|
Provider Enumeration Date | 11/04/2021 |
Last Update Date | 11/04/2021 |
Certification Date | 11/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962167890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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