| Shine Aba Therapy | |
|
27975 Greenlawn Cir Laguna Niguel CA 92677-3754 | |
| (949) 424-8900 | |
| (949) 315-3340 |
| Full Name | Shine Aba Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 27975 Greenlawn Cir, Laguna Niguel, California |
| Authorized Official Name and Position | Cassandra Milliken (OWNER/FOUNDER) |
| Authorized Official Contact | 9494248900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Aba Therapy 27975 Greenlawn Cir Laguna Niguel CA 92677-3754 Ph: (949) 424-8900 | Shine Aba Therapy 27975 Greenlawn Cir Laguna Niguel CA 92677-3754 Ph: (949) 424-8900 |
| NPI Number | 1790310829 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790310829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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