| Cascade Aba | |
|
19800 Village Office Ct Ste 104 Bend OR 97702-1813 | |
| (541) 480-2570 | |
| Not Available |
| Full Name | Cascade Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19800 Village Office Ct Ste 104, Bend, Oregon |
| Authorized Official Name and Position | Jenny Fischer (OWNER) |
| Authorized Official Contact | 5413063483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Aba Po Box 1432 Bend OR 97709-1432 Ph: (541) 480-2570 | Cascade Aba 19800 Village Office Ct Ste 104 Bend OR 97702-1813 Ph: (541) 480-2570 |
| NPI Number | 1942537444 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942537444 | NPI | - | NPPES |
| 500687351 | Medicaid | OR | |
| 1467696989 | Other | OR | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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