MEDICARE: GFP ABA SERVICES 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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1962297986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GFP ABA SERVICES INC

Provider Business Mailing Address
First Line	:	6 MELISSA ST
Second Line	:
City	:	LAKE GROVE
State	:	NY
Zip	:	11755-2605
Country	:	US
Telephone Number	:	631-525-3415
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 MELISSA ST
Second Line	:
City	:	LAKE GROVE
State	:	NY
Zip	:	11755-2605
Country	:	US
Telephone Number	:	631-525-3415
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GINO PENA
Credential	:	MS ED
Telephone Number	:	631-525-3415

Provider Enumeration Date	:	04/10/2025
Last Update Date	:	04/23/2025

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