| Aba Advantage Llc | |
|
4435 E Chandler Blvd Ste 200 Phoenix AZ 85048-7651 | |
| (602) 461-8463 | |
| Not Available |
| Full Name | Aba Advantage Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4435 E Chandler Blvd Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Lacy Ingraham (CEO / CO-FOUNDER) |
| Authorized Official Contact | 6024618463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Advantage Llc 4435 E Chandler Blvd Ste 200 Phoenix AZ 85048-7651 Ph: (602) 461-8463 | Aba Advantage Llc 4435 E Chandler Blvd Ste 200 Phoenix AZ 85048-7651 Ph: (602) 461-8463 |
| NPI Number | 1336838135 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336838135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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