MEDICARE: CHILD R US ABA SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1093683690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILD R US ABA SERVICES INC

Provider Business Mailing Address
First Line	:	1616 CONCIERGE BLVD FL 1
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-7158
Country	:	US
Telephone Number	:	305-833-2632
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 CONCIERGE BLVD FL 1
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-7158
Country	:	US
Telephone Number	:	305-833-2632
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAMIAN PEREZ SANTOS
Credential	:
Telephone Number	:	305-833-2632

Provider Enumeration Date	:	10/25/2025
Last Update Date	:	10/25/2025

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Directions to “CHILD R US ABA SERVICES INC ” Practice Location

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