| NPI | 1124610464 |
|---|---|
| Former Legal Business Name | PRESTIGE ABA SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | MAIRELYS CONCEPCION Owner 786-317-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-07-29 |