NPI 1508622416 · live from the CMS NPI Registry
Aba Avenue LLC
Behavior Analyst in Kissimmee, FL. National Provider Identifier 1508622416, active.
NPI record
| NPI | 1508622416 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3255 Prime Park Cir Apt 260, Kissimmee, FL 34746 |
| Practice phone | 407-487-0244 |
| Enumerated | February 27, 2024 |
| Last updated | February 27, 2024 |
| Authorized official | Jenesha Etienne, Owner |
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.