| Kids Place 4 Aba, Llc | |
|
2106 Chicory Way Reno NV 89509-5844 | |
| (775) 710-1688 | |
| Not Available |
| Full Name | Kids Place 4 Aba, Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 2106 Chicory Way, Reno, Nevada |
| Authorized Official Name and Position | Amy Copenhaver (OWNER) |
| Authorized Official Contact | 7757101688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Place 4 Aba, Llc 2106 Chicory Way Reno NV 89509-5844 Ph: () - | Kids Place 4 Aba, Llc 2106 Chicory Way Reno NV 89509-5844 Ph: (775) 710-1688 |
| NPI Number | 1245995802 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245995802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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