| Ad Astra Behavior Exchange, Llc | |
|
9912 Lavender Ln Manhattan KS 66502-1531 | |
| (620) 791-8418 | |
| Not Available |
| Full Name | Ad Astra Behavior Exchange, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9912 Lavender Ln, Manhattan, Kansas |
| Authorized Official Name and Position | Julie Moore (OWNER) |
| Authorized Official Contact | 6207918418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ad Astra Behavior Exchange, Llc 9912 Lavender Ln Manhattan KS 66502-1531 Ph: (620) 791-8418 | Ad Astra Behavior Exchange, Llc 9912 Lavender Ln Manhattan KS 66502-1531 Ph: (620) 791-8418 |
| NPI Number | 1801574926 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801574926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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