Provider Demographics
NPI:1750976221
Name:SPECIAL WAY ABA, CORP.
Entity type:Organization
Organization Name:SPECIAL WAY ABA, CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAMILET
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-612-9793
Mailing Address - Street 1:34240 SW 187TH AVE UNIT 104
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2026
Mailing Address - Country:US
Mailing Address - Phone:786-612-9793
Mailing Address - Fax:
Practice Address - Street 1:34240 SW 187TH AVE UNIT 104
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-2026
Practice Address - Country:US
Practice Address - Phone:786-612-9793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty