MEDICARE: ABA GROWTH & CONNECTION 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1427826619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABA GROWTH & CONNECTION LLC

Provider Business Mailing Address
First Line	:	9502 SW 166TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-4875
Country	:	US
Telephone Number	:	754-234-0643
Fax Number	:

Provider Business Practice Location Address
First Line	:	15450 NEW BARN RD STE 264
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2169
Country	:	US
Telephone Number	:	754-234-0643
Fax Number	:	305-509-5943

Authorized Official
Title or Position	:	PRESENT
Name	:	YELEDYS PINERO DE LA ROSA
Credential	:
Telephone Number	:	786-316-6083

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	03/03/2026

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