| Nova Aba Llc | |
|
4797 W Grande Market Dr Appleton WI 54913-8411 | |
| (920) 470-1677 | |
| Not Available |
| Full Name | Nova Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4797 W Grande Market Dr, Appleton, Wisconsin |
| Authorized Official Name and Position | Emily Paschen (OWNER) |
| Authorized Official Contact | 9202573496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Aba Llc 4797 W Grande Market Dr Appleton WI 54913-8411 Ph: (920) 470-1677 | Nova Aba Llc 4797 W Grande Market Dr Appleton WI 54913-8411 Ph: (920) 470-1677 |
| NPI Number | 1205582020 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205582020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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