| Divinity Aba, Llc. | |
|
1508 Emerald Knoll Drive Keller TX 76248-1506 | |
| (817) 455-5920 | |
| Not Available |
| Full Name | Divinity Aba, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1508 Emerald Knoll Drive, Keller, Texas |
| Authorized Official Name and Position | Beth A Worman (OWNER, CEO) |
| Authorized Official Contact | 8174555920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divinity Aba, Llc. 1508 Emerald Knoll Drive Keller TX 76248-1506 Ph: (817) 455-5920 | Divinity Aba, Llc. 1508 Emerald Knoll Drive Keller TX 76248-1506 Ph: (817) 455-5920 |
| NPI Number | 1124836978 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124836978 | NPI | - | NPPES |
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