| Ohana Aba Consulting, Llc | |
|
813 Randall Ave Cheyenne WY 82001-2559 | |
| (719) 469-4906 | |
| (307) 202-4557 |
| Full Name | Ohana Aba Consulting, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 813 Randall Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Jennifer Lynne Pannebaker (OWNER/BCBA) |
| Authorized Official Contact | 7194694906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Aba Consulting, Llc 813 Randall Ave Cheyenne WY 82001-2559 Ph: (719) 469-4906 | Ohana Aba Consulting, Llc 813 Randall Ave Cheyenne WY 82001-2559 Ph: (719) 469-4906 |
| NPI Number | 1598372468 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/25/2020 |
| Certification Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598372468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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