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NPI Code Detail

MEDICARE: ABA ROCKIN REINFORCERS, LLC

MEDICARE: ABA ROCKIN REINFORCERS, LLC
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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255071361
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABA ROCKIN REINFORCERS, LLC
Provider Business Mailing Address
First Line : 3911 SW 56TH CT
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33312-6227
Country : US
Telephone Number : 305-988-5115
Fax Number :
Provider Business Practice Location Address
First Line : 3911 SW 56TH CT
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33312-6227
Country : US
Telephone Number : 305-988-5115
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : REGINA COHEN
Credential : BCBA
Telephone Number : 305-832-9419
Provider Enumeration Date : 03/29/2022
Last Update Date : 09/29/2024

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