Provider Demographics
NPI:1902515265
Name:ABACUS THERAPY SERVICES LLC
Entity type:Organization
Organization Name:ABACUS THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:LISET
Authorized Official - Middle Name:
Authorized Official - Last Name:PORRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-536-2009
Mailing Address - Street 1:2550 NW 72ND AVE STE 218
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1345
Mailing Address - Country:US
Mailing Address - Phone:786-536-2009
Mailing Address - Fax:
Practice Address - Street 1:2550 NW 72ND AVE STE 218
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1345
Practice Address - Country:US
Practice Address - Phone:786-536-2009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty