Provider Demographics
NPI:1164206207
Name:SYNERGY ABA CENTRAL INC
Entity Type:Organization
Organization Name:SYNERGY ABA CENTRAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-332-6632
Mailing Address - Street 1:4355 W 16TH AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7666
Mailing Address - Country:US
Mailing Address - Phone:786-332-6632
Mailing Address - Fax:305-418-7578
Practice Address - Street 1:4355 W 16TH AVE STE 210
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7666
Practice Address - Country:US
Practice Address - Phone:786-332-6632
Practice Address - Fax:305-418-7578
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNERGY ABA CENTRAL INC - MIAMI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-21
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty