Provider Demographics
NPI:1437638269
Name:PLAY ABA LLC
Entity type:Organization
Organization Name:PLAY ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORBE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CESAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:352-415-5345
Mailing Address - Street 1:10753 SW 104TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8164
Mailing Address - Country:US
Mailing Address - Phone:352-415-5345
Mailing Address - Fax:
Practice Address - Street 1:10753 SW 104TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-8164
Practice Address - Country:US
Practice Address - Phone:352-415-5345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty