Surfside Aba
NPI #1578430492 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1578430492
- Entity Type
- Organization
- Organization Name
- Surfside Aba
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Oct 23, 2025
- Last Updated
- Oct 23, 2025
Practice Location
- Address
- 378 NE SURFSIDE AVE
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34983-1244
- Phone
- (000) 000-0000
Authorized Official
- Name
- ERIC GORMLEY, GEN PTR
- Title
- OWNER
- Phone
- (000) 000-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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