| Positive Change Aba Llc | |
|
436 Tumbleweed Pass Jackson MO 63755-8541 | |
| (417) 294-1178 | |
| Not Available |
| Full Name | Positive Change Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 436 Tumbleweed Pass, Jackson, Missouri |
| Authorized Official Name and Position | Nicole Rae Mcdonald (OWNER, BCBA, LBA) |
| Authorized Official Contact | 4172941178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Change Aba Llc 436 Tumbleweed Pass Jackson MO 63755-8541 Ph: (417) 294-1178 | Positive Change Aba Llc 436 Tumbleweed Pass Jackson MO 63755-8541 Ph: (417) 294-1178 |
| NPI Number | 1366017857 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 05/26/2021 |
| Certification Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366017857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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