MEDICARE: ABC LEARN & BEHAVE INC

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	:	1154196939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABC LEARN & BEHAVE INC

Provider Business Mailing Address
First Line	:	7016 SW 69TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-3131
Country	:	US
Telephone Number	:	305-766-8066
Fax Number	:

Provider Business Practice Location Address
First Line	:	7016 SW 69TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-3131
Country	:	US
Telephone Number	:	305-766-8066
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEXIS PERERA
Credential	:	MD
Telephone Number	:	305-766-8066

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	11/21/2023

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Directions to “ABC LEARN & BEHAVE INC ” Practice Location

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