| Assent Aba Llc | |
|
118 Tilton Ave San Mateo CA 94401-2811 | |
| (650) 484-7076 | |
| Not Available |
| Full Name | Assent Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 118 Tilton Ave, San Mateo, California |
| Authorized Official Name and Position | Stephanie Lynn Fichtel (FOUNDER) |
| Authorized Official Contact | 6504847076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Assent Aba Llc 118 Tilton Ave San Mateo CA 94401-2811 Ph: (650) 484-7076 | Assent Aba Llc 118 Tilton Ave San Mateo CA 94401-2811 Ph: (650) 484-7076 |
| NPI Number | 1063101574 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063101574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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