| Optimum Aba Services | |
|
3430 Tully Rd Ste 20-1082 Modesto CA 95350-0840 | |
| (209) 232-6786 | |
| (209) 232-6787 |
| Full Name | Optimum Aba Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3430 Tully Rd Ste 20-1082, Modesto, California |
| Authorized Official Name and Position | Jonathan Bruno (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2092326786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Aba Services 3430 Tully Rd Ste 20-1082 Modesto CA 95350-0840 Ph: (209) 232-6786 | Optimum Aba Services 3430 Tully Rd Ste 20-1082 Modesto CA 95350-0840 Ph: (209) 232-6786 |
| NPI Number | 1083300503 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083300503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |