Provider Demographics
NPI:1699442236
Name:ABA THERAPY CHILDREN'S INSTITUTE,LLC
Entity type:Organization
Organization Name:ABA THERAPY CHILDREN'S INSTITUTE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARICHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-901-5640
Mailing Address - Street 1:6363 OVERSEAS HWY STE 6
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-2747
Mailing Address - Country:US
Mailing Address - Phone:786-901-5640
Mailing Address - Fax:786-901-5641
Practice Address - Street 1:6363 OVERSEAS HWY STE 6
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2747
Practice Address - Country:US
Practice Address - Phone:786-901-5640
Practice Address - Fax:786-901-5641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health