Provider Demographics
NPI:1083220966
Name:UNIQUE ABA HORIZONS LLC
Entity Type:Organization
Organization Name:UNIQUE ABA HORIZONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ QUIALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-909-1524
Mailing Address - Street 1:24922 SW 118TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-3311
Mailing Address - Country:US
Mailing Address - Phone:786-909-1524
Mailing Address - Fax:
Practice Address - Street 1:24922 SW 118TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-3311
Practice Address - Country:US
Practice Address - Phone:786-909-1524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty