MEDICARE: ABAD THERAPY GROUP CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1124643937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABAD THERAPY GROUP CORP.

Provider Business Mailing Address
First Line	:	5516 CANNON WAY APT G
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-3777
Country	:	US
Telephone Number	:	561-812-8666
Fax Number	:

Provider Business Practice Location Address
First Line	:	5516 CANNON WAY APT G
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-3777
Country	:	US
Telephone Number	:	561-812-8666
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CINDY RAMOS ABAD
Credential	:	B.S., BCABA
Telephone Number	:	561-812-8666

Provider Enumeration Date	:	06/08/2020
Last Update Date	:	06/08/2020

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