| Inclusive Aba Co Llc | |
|
155 Boardwalk Dr # 490 Fort Collins CO 80525-3040 | |
| (303) 616-1188 | |
| (303) 616-1189 |
| Full Name | Inclusive Aba Co Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 155 Boardwalk Dr # 490, Fort Collins, Colorado |
| Authorized Official Name and Position | Jt Gutman (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3036161188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusive Aba Co Llc 1525 Prospect St Ste 603 Lakewood NJ 08701-4642 Ph: (303) 616-1188 | Inclusive Aba Co Llc 155 Boardwalk Dr # 490 Fort Collins CO 80525-3040 Ph: (303) 616-1188 |
| NPI Number | 1386355584 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386355584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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