Chrysalis Aba Therapy Corp

LBN: Chrysalis Aba Therapy Corp
Chrysalis Aba Therapy Corp is an health care organization with primary practice located at 5180 W Atlantic Ave Suite 114, Delray Beach FL 33484-8103. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Early Intervention Provider Agency. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Chrysalis Aba Therapy Corp can be contacted via phone (561) 674-9996, or through Kouracles, Beatriz E via phone (617) 470-9827.

Contact Information

Primary practice address
5180 W Atlantic Ave Suite 114 Delray Beach FL 33484-8103
Phone: (561) 674-9996
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kouracles, Beatriz E MBA, BCBA, LBA, IBA
Phone: (617) 470-9827

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1760838015
LBN Legal business name Chrysalis Aba Therapy Corp
DBA Doing business as
Authorized official Kouracles, Beatriz E MBA, BCBA, LBA, IBA
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2016
Last updated Apr 2nd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760838015 NPPES
Florida MEDICAID 017416600

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