| Rogue Aba Washington Llc | |
|
1712 6th Ave Ste 100 Tacoma WA 98405-3300 | |
| (603) 692-8173 | |
| Not Available |
| Full Name | Rogue Aba Washington Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1712 6th Ave Ste 100, Tacoma, Washington |
| Authorized Official Name and Position | Cf True (CEO) |
| Authorized Official Contact | 6036928173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Aba Washington Llc 1712 6th Ave Ste 100 Tacoma WA 98405-3300 Ph: (603) 692-8173 | Rogue Aba Washington Llc 1712 6th Ave Ste 100 Tacoma WA 98405-3300 Ph: (603) 692-8173 |
| NPI Number | 1629818836 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629818836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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