| Rad Aba | |
|
1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 | |
| (480) 916-1574 | |
| Not Available |
| Full Name | Rad Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1204 E Baseline Rd Ste 106, Tempe, Arizona |
| Authorized Official Name and Position | Christina Panteloglow (OWNER/MANAGER) |
| Authorized Official Contact | 4809161574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rad Aba 1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 Ph: (480) 916-1574 | Rad Aba 1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 Ph: (480) 916-1574 |
| NPI Number | 1598442428 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598442428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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