MEDICARE: NARRA ABA LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1326886243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NARRA ABA LLC

Provider Business Mailing Address
First Line	:	119 SW GRIMALDO TER
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34984-4454
Country	:	US
Telephone Number	:	646-627-1035
Fax Number	:

Provider Business Practice Location Address
First Line	:	4152 OKEECHOBEE RD STE D
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34947-5402
Country	:	US
Telephone Number	:	646-627-1035
Fax Number	:

Authorized Official
Title or Position	:	BCBA
Name	:	VERONICA ROJAS
Credential	:	BCBA
Telephone Number	:	646-627-1035

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	07/18/2024

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