| Applied Behavioral Health Care Llc | |
|
527 2nd St Ne Hopkins MN 55343-3403 | |
| (952) 933-3460 | |
| (952) 938-5162 |
| Full Name | Applied Behavioral Health Care Llc |
|---|---|
| Speciality | Social Worker |
| Location | 527 2nd St Ne, Hopkins, Minnesota |
| Authorized Official Name and Position | William John Ronan (OWNER) |
| Authorized Official Contact | 9529333460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Behavioral Health Care Llc 527 2nd St Ne Hopkins MN 55343-3403 Ph: (952) 933-3460 | Applied Behavioral Health Care Llc 527 2nd St Ne Hopkins MN 55343-3403 Ph: (952) 933-3460 |
| NPI Number | 1932646478 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Medicare PECOS PAC ID | 0244512374 |
|---|---|
| Medicare Enrollment ID | O20170124002567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932646478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00371 (Minnesota) | Primary |
| Provider Name | William J Ronan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942419320 PECOS PAC ID: 5799067823 Enrollment ID: I20170127000054 |
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