| Morning Star Aba Therapy Llc | |
|
8112 Pawtucket Dr Huntington Beach CA 92646-6734 | |
| (714) 552-1317 | |
| Not Available |
| Full Name | Morning Star Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8112 Pawtucket Dr, Huntington Beach, California |
| Authorized Official Name and Position | Amanda Grace Dissmore (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7145521317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morning Star Aba Therapy Llc 8112 Pawtucket Dr Huntington Beach CA 92646-6734 Ph: (714) 552-1317 | Morning Star Aba Therapy Llc 8112 Pawtucket Dr Huntington Beach CA 92646-6734 Ph: (714) 552-1317 |
| NPI Number | 1750770350 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750770350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-14639 (California) | Primary |
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