Provider Demographics
NPI:1346965670
Name:PANTOJA ABA LLC
Entity Type:Organization
Organization Name:PANTOJA ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELOISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANTOJA JARABA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-584-7225
Mailing Address - Street 1:8565 NW 5TH TER # 1402
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3885
Mailing Address - Country:US
Mailing Address - Phone:786-584-7225
Mailing Address - Fax:786-527-2910
Practice Address - Street 1:8565 NW 5TH TER # 1402
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3885
Practice Address - Country:US
Practice Address - Phone:786-584-7225
Practice Address - Fax:786-527-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty