| Nestoraba, Llc | |
|
7901 4th St N Ste 10393 St Petersburg FL 33702-4305 | |
| (614) 315-0137 | |
| Not Available |
| Full Name | Nestoraba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7901 4th St N Ste 10393, St Petersburg, Florida |
| Authorized Official Name and Position | Jennifer Wiehoff (FOUNDER/OWNER) |
| Authorized Official Contact | 6143150137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nestoraba, Llc 1900 Polaris Pkwy Ste 450 Columbus OH 43240-4064 Ph: () - | Nestoraba, Llc 7901 4th St N Ste 10393 St Petersburg FL 33702-4305 Ph: (614) 315-0137 |
| NPI Number | 1568186088 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568186088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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