MEDICARE: ABA BUDDIES, 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	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740990498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABA BUDDIES, LLC

Provider Business Mailing Address
First Line	:	24298 SW 113TH PSGE
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-7108
Country	:	US
Telephone Number	:	786-202-1701
Fax Number	:	305-614-0428

Provider Business Practice Location Address
First Line	:	2001 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2540
Country	:	US
Telephone Number	:	786-633-5317
Fax Number	:	305-614-0428

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	YORDANKA MEZAWI
Credential	:	MED, BCBA
Telephone Number	:	786-202-1701

Provider Enumeration Date	:	12/02/2022
Last Update Date	:	06/16/2026

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Directions to “ABA BUDDIES, LLC ” Practice Location

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