| Soaringhigh Aba Mn Llc | |
|
2355 Highway 36 W Ste 400 Roseville MN 55113-3905 | |
| (845) 300-2769 | |
| Not Available |
| Full Name | Soaringhigh Aba Mn Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2355 Highway 36 W Ste 400, Roseville, Minnesota |
| Authorized Official Name and Position | Rivka Kurtz (OWNER) |
| Authorized Official Contact | 8453002769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soaringhigh Aba Mn Llc 2355 Highway 36 W Ste 400 Roseville MN 55113-3905 Ph: (845) 300-2769 | Soaringhigh Aba Mn Llc 2355 Highway 36 W Ste 400 Roseville MN 55113-3905 Ph: (845) 300-2769 |
| NPI Number | 1023855897 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023855897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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