OrganizationAbundant Abilities LlcBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address4052 Eastridge Cir, Pompano Beach, FL 33064-1844(954) 590-0647PECOS EnrollmentBased on the most recent information from CMS, provider Abundant Abilities Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679920326Provider TypeOrganizationFull NameAbundant Abilities LlcSubpartNoEnumeration Date5/23/2016Last Updated5/23/2016Contact InformationPractice LocationPractice Address4052 Eastridge Cir, Pompano Beach, FL 33064-1844Phone(954) 590-0647FaxUnlisted FaxMailing LocationMailing Address4052 Eastridge Cir, Pompano Beach, FL 33064-1844PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameMiller-Johnson, Shaketra (Owner)Phone(954) 590-0647Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-08-4450FloridaProvider IdentifiersIDDescriptionIssuerID010797300DescriptionMedicaidIssuerUnlistedFlorida