Provider Demographics
NPI:1508646530
Name:ABA GLOBAL GROUP SERVICE LLC
Entity Type:Organization
Organization Name:ABA GLOBAL GROUP SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUDIT
Authorized Official - Middle Name:MAILIN
Authorized Official - Last Name:HERNANDEZ CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-271-7081
Mailing Address - Street 1:2000 N BAYSHORE DR APT 1111
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5122
Mailing Address - Country:US
Mailing Address - Phone:786-553-3507
Mailing Address - Fax:
Practice Address - Street 1:3124 GINGER CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-2510
Practice Address - Country:US
Practice Address - Phone:786-271-7081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty