Aglow Aba Llc | |
3400 Cottage Way Ste G2 Sacramento CA 95825-1474 | |
(669) 252-6423 | |
Not Available |
Full Name | Aglow Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 3400 Cottage Way Ste G2, Sacramento, California |
Authorized Official Name and Position | Samuel Gomez (CEO) |
Authorized Official Contact | 6692526423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aglow Aba Llc 3400 Cottage Way Ste G2 Sacramento CA 95825-1474 Ph: () - | Aglow Aba Llc 3400 Cottage Way Ste G2 Sacramento CA 95825-1474 Ph: (669) 252-6423 |
NPI Number | 1124898549 |
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Provider Enumeration Date | 01/05/2024 |
Last Update Date | 01/05/2024 |
Certification Date | 01/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124898549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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