MEDICARE: TUTOR ME ABA SERVICESINC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1740977842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUTOR ME ABA SERVICESINC.

Provider Business Mailing Address
First Line	:	5715 NW 158TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-6719
Country	:	US
Telephone Number	:	786-229-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	5715 NW 158TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-6719
Country	:	US
Telephone Number	:	786-229-1166
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNY ESPINOSA
Credential	:
Telephone Number	:	786-229-1166

Provider Enumeration Date	:	04/19/2023
Last Update Date	:	04/19/2023

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