| Aba Allstars, Llc | |
|
123 N California St Lodi CA 95240-1903 | |
| (209) 712-2614 | |
| Not Available |
| Full Name | Aba Allstars, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 123 N California St, Lodi, California |
| Authorized Official Name and Position | Emilia Sheehan (CEO) |
| Authorized Official Contact | 2097122614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Allstars, Llc 123 N California St Lodi CA 95240-1903 Ph: () - | Aba Allstars, Llc 123 N California St Lodi CA 95240-1903 Ph: (209) 712-2614 |
| NPI Number | 1427562099 |
|---|---|
| Provider Enumeration Date | 11/18/2017 |
| Last Update Date | 11/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427562099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-23642 (California) | Primary |
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