NPI 1407502115 · live from the CMS NPI Registry
Aba Therapy Near Me LLC
Speech-Language Pathologist, in Avon Park, FL. National Provider Identifier 1407502115, active.
NPI record
| NPI | 1407502115 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2523 Us Highway 27 S Ste 201, Avon Park, FL 33825 |
| Practice phone | 786-865-1178 |
| Enumerated | February 22, 2022 |
| Last updated | February 22, 2022 |
| Authorized official | Rafael Sierra, President |
| Other names | Aba Therapy Near Me LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Pediatrics | 2251P0200X | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — |
| Community/Behavioral Health | 251S00000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.