| Kids Club Aba Md Llc | |
|
1 Olympic Pl Ste 900 Towson MD 21204-4113 | |
| (404) 458-0809 | |
| Not Available |
| Full Name | Kids Club Aba Md Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1 Olympic Pl Ste 900, Towson, Maryland |
| Authorized Official Name and Position | Moishe Bobker (CEO) |
| Authorized Official Contact | 4044580809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Club Aba Md Llc 17 Newport Dr Nanuet NY 10954-3111 Ph: (404) 458-0809 | Kids Club Aba Md Llc 1 Olympic Pl Ste 900 Towson MD 21204-4113 Ph: (404) 458-0809 |
| NPI Number | 1841001161 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841001161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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