| Aba Humboldt | |
|
1622 Bartow Rd Mckinleyville CA 95519-4309 | |
| (707) 672-5527 | |
| (707) 633-1755 |
| Full Name | Aba Humboldt |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1622 Bartow Rd, Mckinleyville, California |
| Authorized Official Name and Position | Jeanna Loray Milton (OWNER/FOUNDING BCBA) |
| Authorized Official Contact | 7076725527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Humboldt 1622 Bartow Rd Mckinleyville CA 95519-4309 Ph: (707) 672-5527 | Aba Humboldt 1622 Bartow Rd Mckinleyville CA 95519-4309 Ph: (707) 672-5527 |
| NPI Number | 1235743030 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235743030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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