Provider Demographics
NPI:1346636214
Name:ABA THERAPY AND EARLY YEARS INTERVENTION
Entity Type:Organization
Organization Name:ABA THERAPY AND EARLY YEARS INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SZASZ
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:561-305-4346
Mailing Address - Street 1:22755 SW 66TH AVE
Mailing Address - Street 2:#201
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-5333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22755 SW 66TH AVE
Practice Address - Street 2:#201
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5333
Practice Address - Country:US
Practice Address - Phone:561-305-4346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT1500641252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency