Aba Schoolhouse | |
9221 E Baseline Rd Ste 109no242 Mesa AZ 85209-8310 | |
(805) 325-1421 | |
(480) 939-3596 |
Full Name | Aba Schoolhouse |
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Speciality | Behavior Analyst |
Location | 9221 E Baseline Rd Ste 109no242, Mesa, Arizona |
Authorized Official Name and Position | Kelly Bridgeforth (OWNER) |
Authorized Official Contact | 8053251421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aba Schoolhouse 9221 E Baseline Rd Ste 109no242 Mesa AZ 85209-8310 Ph: (805) 325-1421 | Aba Schoolhouse 9221 E Baseline Rd Ste 109no242 Mesa AZ 85209-8310 Ph: (805) 325-1421 |
NPI Number | 1477043255 |
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Provider Enumeration Date | 05/16/2018 |
Last Update Date | 05/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477043255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (Arizona) | Primary |
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