| Heart & Soul Aba Pllc | |
|
705 E Bidwell St Ste 2-295 Folsom CA 95630-3315 | |
| (602) 281-0729 | |
| Not Available |
| Full Name | Heart & Soul Aba Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 705 E Bidwell St Ste 2-295, Folsom, California |
| Authorized Official Name and Position | Suzan Bonzo (OWNER) |
| Authorized Official Contact | 6022810729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Soul Aba Pllc 4068 Mount Royal Blvd Allison Park PA 15101-2977 Ph: (412) 552-7609 | Heart & Soul Aba Pllc 705 E Bidwell St Ste 2-295 Folsom CA 95630-3315 Ph: (602) 281-0729 |
| NPI Number | 1922645043 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922645043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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