| Rainbow Aba Therapy Llc | |
|
1910 Pacific Ave Suite 2000-1359 Dallas TX 75201 | |
| (216) 215-6495 | |
| Not Available |
| Full Name | Rainbow Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1910 Pacific Ave Suite 2000-1359, Dallas, Texas |
| Authorized Official Name and Position | Moshe Nosson Jacobovitch (MANAGER) |
| Authorized Official Contact | 2162156495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Aba Therapy Llc 7 Old Pomona Rd Suffern NY 10901-1707 Ph: (201) 720-8600 | Rainbow Aba Therapy Llc 1910 Pacific Ave Suite 2000-1359 Dallas TX 75201 Ph: (216) 215-6495 |
| NPI Number | 1285365320 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285365320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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