Provider Demographics
NPI:1912740572
Name:UNIQUE ABA SERVICES CORP
Entity type:Organization
Organization Name:UNIQUE ABA SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANOCETO MARCET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-286-1753
Mailing Address - Street 1:1605 RUTLEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:FL
Mailing Address - Zip Code:33852-7296
Mailing Address - Country:US
Mailing Address - Phone:786-286-1753
Mailing Address - Fax:754-732-4242
Practice Address - Street 1:1605 RUTLEDGE AVE
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:FL
Practice Address - Zip Code:33852-7296
Practice Address - Country:US
Practice Address - Phone:786-286-1753
Practice Address - Fax:754-732-4242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty