NPI 1669980454 · live from the CMS NPI Registry
Aba Blue Hope Corp
Behavior Analyst in Hialeah Gardens, FL. National Provider Identifier 1669980454, active.
NPI record
| NPI | 1669980454 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10478 Nw 132nd St, Hialeah Gardens, FL 33018 |
| Practice phone | 305-263-0789 |
| Mailing address | 2638 W 69th Ter, Hialeah, FL 33016 |
| Enumerated | January 16, 2018 |
| Last updated | April 20, 2023 |
| Authorized official | Yandira Hernandez Fernandez, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.