| Affirming Support Collaborative Llc | |
|
10535 Rose Ave Apt 10 Los Angeles CA 90034-4647 | |
| (347) 853-9220 | |
| Not Available |
| Full Name | Affirming Support Collaborative Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10535 Rose Ave Apt 10, Los Angeles, California |
| Authorized Official Name and Position | Cailey Marce Rodgers (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 3478539220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affirming Support Collaborative Llc 10535 Rose Ave Apt 10 Los Angeles CA 90034-4647 Ph: (347) 853-9220 | Affirming Support Collaborative Llc 10535 Rose Ave Apt 10 Los Angeles CA 90034-4647 Ph: (347) 853-9220 |
| NPI Number | 1548970338 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548970338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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