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1417639287
ABA LYFE, PLLC
FORT WALTON BEACH, FL
NPI
1417639287
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Entity Type
Organization
Authorized Contact
TAYLOR DETHEROW
Bcba
925-337-7384
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
ABA LYFE, PLLC
1007 PINEVIEW BLVD UNIT C
FORT WALTON BEACH, FL 32547-1499
Phone number: 925-337-7384
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Mailing Address
ABA LYFE, PLLC
1007 PINEVIEW BLVD UNIT C
FORT WALTON BEACH, FL 32547-1499
Phone number: 925-337-7384
Copy
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