Healthcare Provider Details

I. General information

NPI: 1912661703
Provider Name (Legal Business Name): ABA ADVENT THERAPY KIDS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 10/27/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5547 SABAL DR
SAINT CLOUD FL
34771-7643
US

IV. Provider business mailing address

5547 SABAL DR
SAINT CLOUD FL
34771-7643
US

V. Phone/Fax

Practice location:
  • Phone: 407-515-0189
  • Fax:
Mailing address:
  • Phone: 407-515-0189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ADRIANA ABREU
Title or Position: DIRECTOR
Credential:
Phone: 407-515-0189