Provider Demographics
NPI:1477309110
Name:CORE ABA SOLUTIONS LLC
Entity type:Organization
Organization Name:CORE ABA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZUYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIERA VICENTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-657-6812
Mailing Address - Street 1:14100 PALMETTO FRNTG RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1568
Mailing Address - Country:US
Mailing Address - Phone:786-567-6812
Mailing Address - Fax:
Practice Address - Street 1:14100 PALMETTO FRNTG RD STE 102
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1568
Practice Address - Country:US
Practice Address - Phone:786-567-6812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty