| Adventure Aba, Llc | |
|
10150 W Desert River Blvd Ste 160 Glendale AZ 85307-3010 | |
| (623) 693-2954 | |
| Not Available |
| Full Name | Adventure Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10150 W Desert River Blvd Ste 160, Glendale, Arizona |
| Authorized Official Name and Position | Paige Nicole Huff (CO-FOUNDER & CEO) |
| Authorized Official Contact | 6236934766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventure Aba, Llc 10150 W Desert River Blvd Ste 160 Glendale AZ 85307-3010 Ph: (623) 693-2954 | Adventure Aba, Llc 10150 W Desert River Blvd Ste 160 Glendale AZ 85307-3010 Ph: (623) 693-2954 |
| NPI Number | 1588178149 |
|---|---|
| Provider Enumeration Date | 11/18/2017 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588178149 | NPI | - | NPPES |
| 357819 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 267 (Arizona) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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