Essential Aba, Llc | |
1375 E Morgan St Martinsville IN 46151-5802 | |
(317) 677-6198 | |
Not Available |
Full Name | Essential Aba, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1375 E Morgan St, Martinsville, Indiana |
Authorized Official Name and Position | Bradley Hatcher (DIRECTOR) |
Authorized Official Contact | 3176776198 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Essential Aba, Llc 1375 E Morgan St Martinsville IN 46151-5802 Ph: (317) 677-6198 | Essential Aba, Llc 1375 E Morgan St Martinsville IN 46151-5802 Ph: (317) 677-6198 |
NPI Number | 1467011072 |
---|---|
Provider Enumeration Date | 06/07/2019 |
Last Update Date | 06/26/2020 |
Certification Date | 06/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467011072 | NPI | - | NPPES |
300030587 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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