| Axon Aba Solutions Llc | |
|
100 Detar Rd Gilbertsville PA 19525-9445 | |
| (610) 906-5496 | |
| Not Available |
| Full Name | Axon Aba Solutions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 100 Detar Rd, Gilbertsville, Pennsylvania |
| Authorized Official Name and Position | Bobby Sasikala Sembieyan (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6109065496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axon Aba Solutions Llc 100 Detar Rd Gilbertsville PA 19525-9445 Ph: (610) 906-5496 | Axon Aba Solutions Llc 100 Detar Rd Gilbertsville PA 19525-9445 Ph: (610) 906-5496 |
| NPI Number | 1346088572 |
|---|---|
| Provider Enumeration Date | 07/20/2024 |
| Last Update Date | 07/20/2024 |
| Certification Date | 07/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346088572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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