NPI 1003314402 · live from the CMS NPI Registry
Aba Family Services
Behavior Analyst in Port Saint Lucie, FL. National Provider Identifier 1003314402, active.
NPI record
| NPI | 1003314402 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2074 Se Doverbrook St, Port Saint Lucie, FL 34983 |
| Practice phone | 772-905-8836 |
| Enumerated | January 31, 2018 |
| Last updated | January 31, 2018 |
| Authorized official | Shannon Kiess, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 11623919 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.