Provider Demographics
NPI:1477234466
Name:EMBRACE PATHWAYS ABA ORLANDO LLC
Entity Type:Organization
Organization Name:EMBRACE PATHWAYS ABA ORLANDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FERNANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:781-367-9462
Mailing Address - Street 1:7123 HARMONY SQUARE DR S
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:FL
Mailing Address - Zip Code:34773-6057
Mailing Address - Country:US
Mailing Address - Phone:781-367-9462
Mailing Address - Fax:
Practice Address - Street 1:7123 HARMONY SQUARE DR S
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:FL
Practice Address - Zip Code:34773-6057
Practice Address - Country:US
Practice Address - Phone:781-367-9462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty