| Engage Aba Llc | |
|
4915 25th Ave Ne Ste 202 Seattle WA 98105-5668 | |
| (206) 830-0299 | |
| Not Available |
| Full Name | Engage Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4915 25th Ave Ne Ste 202, Seattle, Washington |
| Authorized Official Name and Position | Aidan M Vickers (OWNER/CLINICAL CONSULTANT) |
| Authorized Official Contact | 2068300299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Engage Aba Llc 4616 25th Ave Ne Seattle WA 98105-4183 Ph: (206) 830-0299 | Engage Aba Llc 4915 25th Ave Ne Ste 202 Seattle WA 98105-5668 Ph: (206) 830-0299 |
| NPI Number | 1568841542 |
|---|---|
| Provider Enumeration Date | 05/24/2015 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568841542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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