| Flourish Aba Llc | |
|
2331 Velp Ave Ste H Green Bay WI 54303-6592 | |
| (920) 676-2609 | |
| Not Available |
| Full Name | Flourish Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2331 Velp Ave Ste H, Green Bay, Wisconsin |
| Authorized Official Name and Position | Jenna Ryczek (BCBA) |
| Authorized Official Contact | 9206762609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourish Aba Llc 2331 Velp Ave Ste H Green Bay WI 54303-6592 Ph: (920) 676-2609 | Flourish Aba Llc 2331 Velp Ave Ste H Green Bay WI 54303-6592 Ph: (920) 676-2609 |
| NPI Number | 1003639014 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003639014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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