| Olive Aba Llc | |
|
1042 Pearl St Apt A Santa Monica CA 90405-2539 | |
| (206) 841-6561 | |
| Not Available |
| Full Name | Olive Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1042 Pearl St Apt A, Santa Monica, California |
| Authorized Official Name and Position | Anna Distefano (OWNER) |
| Authorized Official Contact | 2068416561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Aba Llc 1042 Pearl St Apt A Santa Monica CA 90405-2539 Ph: () - | Olive Aba Llc 1042 Pearl St Apt A Santa Monica CA 90405-2539 Ph: (206) 841-6561 |
| NPI Number | 1235610080 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235610080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (California) | Primary |
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