| My World Aba Llc | |
|
3048 S Clifton Ave Ste 112 Springfield MO 65807-6045 | |
| (417) 818-5784 | |
| (417) 315-8621 |
| Full Name | My World Aba Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3048 S Clifton Ave Ste 112, Springfield, Missouri |
| Authorized Official Name and Position | Amanda Lea Mizer (OWNER BCBA) |
| Authorized Official Contact | 5732804559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My World Aba Llc 3048 S Clifton Ave Ste 112 Springfield MO 65807-6045 Ph: (417) 818-5784 | My World Aba Llc 3048 S Clifton Ave Ste 112 Springfield MO 65807-6045 Ph: (417) 818-5784 |
| NPI Number | 1508415175 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508415175 | NPI | - | NPPES |
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