Go Aba Therapy Llc | |
3086 Ramblewood St Portage IN 46368-7220 | |
(219) 299-7187 | |
Not Available |
Full Name | Go Aba Therapy Llc |
---|---|
Speciality | Behavior Analyst |
Location | 3086 Ramblewood St, Portage, Indiana |
Authorized Official Name and Position | Dennis A Smith (OWNER) |
Authorized Official Contact | 2192997187 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Go Aba Therapy Llc 3086 Ramblewood St Portage IN 46368-7220 Ph: (219) 299-7187 | Go Aba Therapy Llc 3086 Ramblewood St Portage IN 46368-7220 Ph: (219) 299-7187 |
NPI Number | 1568031680 |
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Provider Enumeration Date | 06/22/2021 |
Last Update Date | 07/05/2021 |
Certification Date | 07/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568031680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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