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NPI Code Detail

MEDICARE: ABC OF MIAMI, LLC

MEDICARE: ABC OF MIAMI, 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
1251S00000XCommunity/Behavioral Health Agency
2103K00000XBehavior Analyst

Other Identifiers

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

General Provider Information

NPI Number : 1891143434
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC OF MIAMI, LLC
Provider Business Mailing Address
First Line : 321 TO TO LO CHEE DR
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5239
Country : US
Telephone Number : 305-951-4957
Fax Number : 305-901-1797
Provider Business Practice Location Address
First Line : 321 TO TO LO CHEE DR
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5239
Country : US
Telephone Number : 305-773-4037
Fax Number : 305-901-1797
Authorized Official
Title or Position : BCBA/PRESIDENT
Name : DOUGLAS PEREZ
Credential :
Telephone Number : 305-773-4037
Provider Enumeration Date : 05/24/2016
Last Update Date : 11/20/2018

Similar Medicare Providers

1295124360 — MR. DOUGLAS PEREZ BCBA
Practice Location Address:
321 TO TO LO CHEE DR
HIALEAH, FL
33010-5239
Practice Phone: 305-773-4037
Practice Fax: 305-901-1797
1578910576 — MELISSA LOPEZ BCBA
Practice Location Address:
321 TO TO LO CHEE DR
HIALEAH, FL
33010-5239
Practice Phone: 305-815-8341
Practice Fax:
1982218061 — JESSICA RODRIGUEZ IGLESIAS
Practice Location Address:
7150 W 9TH CT
HIALEAH, FL
33014-5239
Practice Phone: 786-831-6516
Practice Fax:
1346114204 — MRS. LISANDRA SANCHEZ
Practice Location Address:
18650 NW 77TH CT
HIALEAH, FL
33015-5239
Practice Phone: 305-528-7189
Practice Fax:
1093673998 — KENNIE NATHANIEL YANCE
Practice Location Address:
221 NE 6TH AVE
HIALEAH, FL
33010-5019
Practice Phone: 786-635-9815
Practice Fax:
1184456311 — STHEFANI MARTINEZ LEON
Practice Location Address:
250 E 12TH ST
HIALEAH, FL
33010-3506
Practice Phone: 786-852-0519
Practice Fax:

Directions to “ABC OF MIAMI, LLC ” Practice Location

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