Provider Demographics
NPI:1003651423
Name:ABACUS BEHAVIORAL LLC
Entity type:Organization
Organization Name:ABACUS BEHAVIORAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:BCABA
Authorized Official - Phone:786-665-1556
Mailing Address - Street 1:14726 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-8866
Mailing Address - Country:US
Mailing Address - Phone:786-665-1556
Mailing Address - Fax:
Practice Address - Street 1:14726 PORTER RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-8866
Practice Address - Country:US
Practice Address - Phone:786-665-1556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty