Healthcare Provider Details
I. General information
NPI: 1144937178
Provider Name (Legal Business Name): ABA TREASURES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2022
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6540 SW 134TH DR
PINECREST FL
33156-7068
US
IV. Provider business mailing address
6540 SW 134TH DR
PINECREST FL
33156-7068
US
V. Phone/Fax
- Phone: 786-440-2859
- Fax:
- Phone: 786-440-2859
- Fax: 866-908-5331
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANAMARIA
CASTILLA
Title or Position: OWNER
Credential: BCBA
Phone: 786-440-2859