Reaching Stars Aba Llc | |
15800 Pines Blvd Ste 350 Pembroke Pines FL 33027-1212 | |
(305) 720-5627 | |
Not Available |
Full Name | Reaching Stars Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 15800 Pines Blvd Ste 350, Pembroke Pines, Florida |
Authorized Official Name and Position | Yesenia Hernandez (PRESIDENT) |
Authorized Official Contact | 3057205627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reaching Stars Aba Llc 16896 Sw 51st St Miramar FL 33027-4918 Ph: (305) 720-5627 | Reaching Stars Aba Llc 15800 Pines Blvd Ste 350 Pembroke Pines FL 33027-1212 Ph: (305) 720-5627 |
NPI Number | 1295503019 |
---|---|
Provider Enumeration Date | 12/12/2023 |
Last Update Date | 04/08/2024 |
Certification Date | 04/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295503019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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