Healthcare Provider Details

I. General information

NPI: 1295138519
Provider Name (Legal Business Name): LIMITLESS LEARNING ABA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 10/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10440 NW 74TH ST APT 207
MEDLEY FL
33178-2484
US

IV. Provider business mailing address

1700 NW 97TH AVE #226454
DORAL FL
33222-5001
US

V. Phone/Fax

Practice location:
  • Phone: 786-431-6638
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VANESSA CHRISTINE CABRERA
Title or Position: PRESIDENT
Credential:
Phone: 786-431-6638