NPI 1245054303 · live from the CMS NPI Registry
Aba Brightwings LLC
Behavior Analyst in Jacksonville, FL. National Provider Identifier 1245054303, active.
NPI record
| NPI | 1245054303 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10163 Fortune Pkwy # G35, Jacksonville, FL 32256 |
| Practice phone | 305-303-3236 |
| Enumerated | November 14, 2024 |
| Last updated | November 14, 2024 |
| Authorized official | Victor Mora, Manager |
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.