Healthcare Provider Details

I. General information

NPI: 1063332153
Provider Name (Legal Business Name): PRADOS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 HOLLY RD
WEST PALM BEACH FL
33406-4320
US

IV. Provider business mailing address

2525 HOLLY RD
WEST PALM BEACH FL
33406-4320
US

V. Phone/Fax

Practice location:
  • Phone: 561-579-5555
  • Fax:
Mailing address:
  • Phone: 561-579-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARIA CLARA PRADO FUENTES
Title or Position: OWNER
Credential:
Phone: 561-579-5555