| Heartwise Missouri Aba Llc | |
|
4240 Blue Ridge Blvd Ste 611b Kansas City MO 64133-1721 | |
| (718) 400-9077 | |
| Not Available |
| Full Name | Heartwise Missouri Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4240 Blue Ridge Blvd Ste 611b, Kansas City, Missouri |
| Authorized Official Name and Position | Zalmen Lovi (CEO) |
| Authorized Official Contact | 7184009077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartwise Missouri Aba Llc 4403 15th Ave Ste 499 Brooklyn NY 11219-1604 Ph: (718) 400-9077 | Heartwise Missouri Aba Llc 4240 Blue Ridge Blvd Ste 611b Kansas City MO 64133-1721 Ph: (718) 400-9077 |
| NPI Number | 1811710387 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811710387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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