| Blue Aba Texas Llc | |
|
3800 N Lamar Blvd Ste 200 Austin TX 78756-0003 | |
| (971) 444-5002 | |
| Not Available |
| Full Name | Blue Aba Texas Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3800 N Lamar Blvd Ste 200, Austin, Texas |
| Authorized Official Name and Position | Gershon Fink (OWNER) |
| Authorized Official Contact | 7865211587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Aba Texas Llc 3921 Alton Rd Unit 107 Miami Beach FL 33140-3852 Ph: (786) 521-1587 | Blue Aba Texas Llc 3800 N Lamar Blvd Ste 200 Austin TX 78756-0003 Ph: (971) 444-5002 |
| NPI Number | 1487304663 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487304663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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