| Arizona Aba | |
|
10325 N Lunar Dr Flagstaff AZ 86004-3154 | |
| (307) 629-6779 | |
| Not Available |
| Full Name | Arizona Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10325 N Lunar Dr, Flagstaff, Arizona |
| Authorized Official Name and Position | Jill Marie Cooney (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9286002190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Aba 10325 N Lunar Dr Flagstaff AZ 86004-3154 Ph: (307) 629-6779 | Arizona Aba 10325 N Lunar Dr Flagstaff AZ 86004-3154 Ph: (307) 629-6779 |
| NPI Number | 1962137703 |
|---|---|
| Provider Enumeration Date | 07/17/2022 |
| Last Update Date | 07/17/2022 |
| Certification Date | 07/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962137703 | NPI | - | NPPES |
| 1548712235 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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