=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285586149
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE ABACUS LICENSED BEHAVIOR ANALYST SERVICES PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2026
-----------------------------------------------------
Last Update Date | 02/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6001 SW 63RD AVENUE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-479-5983
-----------------------------------------------------
Fax | 213-715-2119
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6001 SW 63RD AVE
-----------------------------------------------------
City | SOUTH MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33143-2139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-479-5983
-----------------------------------------------------
Fax | 213-715-2119
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | NEVENKA NANCY LABORDA
-----------------------------------------------------
Credential | BCBA
-----------------------------------------------------
Telephone | 305-479-5983
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------