Healthcare Provider Details

I. General information

NPI: 1891764817
Provider Name (Legal Business Name): ABC INTERVENTION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 70TH PL
VERO BEACH FL
32967-5755
US

IV. Provider business mailing address

2925 70TH PL
VERO BEACH FL
32967-5755
US

V. Phone/Fax

Practice location:
  • Phone: 772-473-3460
  • Fax: 772-770-5846
Mailing address:
  • Phone: 772-473-3460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-04-1898
License Number StateFL

VIII. Authorized Official

Name: DAWNE NOELKE D'ALBORA
Title or Position: OWNER
Credential: BCBA
Phone: 772-473-3460