Healthcare Provider Details

I. General information

NPI: 1275445900
Provider Name (Legal Business Name): CARING MEADOWS ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12794 FOREST HILL BLVD STE 18C
WELLINGTON FL
33414-4717
US

IV. Provider business mailing address

12794 FOREST HILL BLVD STE 18C
WELLINGTON FL
33414-4717
US

V. Phone/Fax

Practice location:
  • Phone: 561-598-3077
  • Fax:
Mailing address:
  • Phone: 561-598-3077
  • 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: GHENSIN MENDOZA
Title or Position: OWNER
Credential:
Phone: 561-598-3077