| Mindcraft Aba Llc | |
|
8300 Waxhaw Hwy Waxhaw NC 28173-2016 | |
| (305) 384-0610 | |
| Not Available |
| Full Name | Mindcraft Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8300 Waxhaw Hwy, Waxhaw, North Carolina |
| Authorized Official Name and Position | Javier Herrera (OWNER) |
| Authorized Official Contact | 3053840610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindcraft Aba Llc 8300 Waxhaw Hwy Waxhaw NC 28173-2016 Ph: (305) 384-0610 | Mindcraft Aba Llc 8300 Waxhaw Hwy Waxhaw NC 28173-2016 Ph: (305) 384-0610 |
| NPI Number | 1780456046 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780456046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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