| Foundations Aba Llc | |
|
1960 Harper St Choctaw OK 73020-8095 | |
| (405) 281-1040 | |
| (405) 585-2983 |
| Full Name | Foundations Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1960 Harper St, Choctaw, Oklahoma |
| Authorized Official Name and Position | Idelle Ann Matthews (BUSINESS MANAGER) |
| Authorized Official Contact | 4055852974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Aba Llc 3903 N Harrison St Shawnee OK 74804-1426 Ph: (405) 585-2974 | Foundations Aba Llc 1960 Harper St Choctaw OK 73020-8095 Ph: (405) 281-1040 |
| NPI Number | 1780416149 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780416149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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