| Pediatric Aba 1 Inc | |
|
1901 Harrison St Ste 203 Hollywood FL 33020-5180 | |
| (786) 597-2047 | |
| Not Available |
| Full Name | Pediatric Aba 1 Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1901 Harrison St Ste 203, Hollywood, Florida |
| Authorized Official Name and Position | Wandy Caceres (CEO) |
| Authorized Official Contact | 7865972047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Aba 1 Inc 1901 Harrison St Ste 203 Hollywood FL 33020-5180 Ph: (786) 597-2047 | Pediatric Aba 1 Inc 1901 Harrison St Ste 203 Hollywood FL 33020-5180 Ph: (786) 597-2047 |
| NPI Number | 1902394539 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 04/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902394539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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