Provider Demographics
NPI:1124746656
Name:EXCEPTIONAL MINDS ABA, LLC
Entity type:Organization
Organization Name:EXCEPTIONAL MINDS ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-407-7442
Mailing Address - Street 1:3012 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6083
Mailing Address - Country:US
Mailing Address - Phone:305-407-7442
Mailing Address - Fax:
Practice Address - Street 1:3012 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-6083
Practice Address - Country:US
Practice Address - Phone:305-407-7442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health