| Breakthrough Aba Llc | |
|
5450 Sw Rim Rd Terrebonne OR 97760-7749 | |
| (541) 350-8474 | |
| Not Available |
| Full Name | Breakthrough Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5450 Sw Rim Rd, Terrebonne, Oregon |
| Authorized Official Name and Position | Kathleen Nemecheck (OWNER) |
| Authorized Official Contact | 5413508474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Aba Llc 5450 Sw Rim Rd Terrebonne OR 97760-7749 Ph: (541) 350-8474 | Breakthrough Aba Llc 5450 Sw Rim Rd Terrebonne OR 97760-7749 Ph: (541) 350-8474 |
| NPI Number | 1154103893 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154103893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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