| Aba Let's Play Llc | |
|
518 E Atlantic St Springfield MO 65803-2908 | |
| (417) 731-8969 | |
| Not Available |
| Full Name | Aba Let's Play Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 518 E Atlantic St, Springfield, Missouri |
| Authorized Official Name and Position | Czrina Moreno (OWNER) |
| Authorized Official Contact | 2095709089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Let's Play Llc 1937 N Benton Ave Springfield MO 65803-2909 Ph: (209) 570-9089 | Aba Let's Play Llc 518 E Atlantic St Springfield MO 65803-2908 Ph: (417) 731-8969 |
| NPI Number | 1992532774 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992532774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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