NPI 1124730122 · live from the CMS NPI Registry
Aba For Children
Behavior Analyst in Doral, FL. National Provider Identifier 1124730122, active.
NPI record
| NPI | 1124730122 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 5232 Nw 112th Pl, Doral, FL 33178 |
| Practice phone | 786-942-4099 |
| Enumerated | December 21, 2022 |
| Last updated | January 5, 2023 |
| Authorized official | Deidre Vivas, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.