MEDICARE: FIRST CHOICE 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	:	1861212086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE ABA SERVICES INC

Provider Business Mailing Address
First Line	:	120 W CENTRAL AVE STE 11
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-6331
Country	:	US
Telephone Number	:	407-870-3434
Fax Number	:	407-641-8897

Provider Business Practice Location Address
First Line	:	120 W CENTRAL AVE STE 11
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-6331
Country	:	US
Telephone Number	:	407-870-3434
Fax Number	:	407-641-8897

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CHRISTOPHER J STAWIARZ
Credential	:
Telephone Number	:	407-280-1151

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	10/23/2025

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