NPI 1053012617 · live from the CMS NPI Registry
Aba Evolution Therapy LLC
Behavior Analyst in Pembroke Pines, FL. National Provider Identifier 1053012617, active.
NPI record
| NPI | 1053012617 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1931 Nw 150th Ave Ste 116, Pembroke Pines, FL 33028 |
| Practice phone | 954-889-2226 |
| Enumerated | March 10, 2023 |
| Last updated | March 10, 2023 |
| Authorized official | Yehnys Torres Gacita, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.