Aces 2020, Llc | |
5333 Mission Center Rd Ste 110 San Diego CA 92108-1347 | |
(855) 223-7123 | |
(619) 278-0885 |
Full Name | Aces 2020, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 5333 Mission Center Rd Ste 110, San Diego, California |
Authorized Official Name and Position | Luke Jana (CHIEF ADMINISTRATIVE OFFICER & GENE) |
Authorized Official Contact | 6198894801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aces 2020, Llc Po Box 33568 San Diego CA 92163 Ph: (855) 223-7123 | Aces 2020, Llc 5333 Mission Center Rd Ste 110 San Diego CA 92108-1347 Ph: (855) 223-7123 |
NPI Number | 1467520452 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 02/27/2023 |
Certification Date | 02/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467520452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
235Z00000X | Speech-language Pathologist | 15276 (California) | Secondary |
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