Healthcare Provider Details

I. General information

NPI: 1164285227
Provider Name (Legal Business Name): ABA ALLIANCE CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9560 SW 107TH AVE STE 106A
MIAMI FL
33176-2790
US

IV. Provider business mailing address

9560 SW 107TH AVE STE 106A
MIAMI FL
33176-2790
US

V. Phone/Fax

Practice location:
  • Phone: 786-444-5970
  • Fax:
Mailing address:
  • Phone: 786-899-0307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YANELKYS MARTINEZ
Title or Position: CEO
Credential:
Phone: 786-444-5970