| Kids Club Aba Mo Llc | |
|
120 S Central Ave Ste 400 Clayton MO 63105-1705 | |
| (404) 458-0809 | |
| (404) 834-5607 |
| Full Name | Kids Club Aba Mo Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 120 S Central Ave Ste 400, Clayton, Missouri |
| Authorized Official Name and Position | Moshe Bobker (CEO) |
| Authorized Official Contact | 9732948815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Club Aba Mo Llc 17 Newport Dr Nanuet NY 10954-3111 Ph: (404) 458-0809 | Kids Club Aba Mo Llc 120 S Central Ave Ste 400 Clayton MO 63105-1705 Ph: (404) 458-0809 |
| NPI Number | 1467292912 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467292912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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