Sunrise Aba Llc | |
505 San Marin Dr Ste 100b Novato CA 94945-1309 | |
(628) 250-7500 | |
Not Available |
Full Name | Sunrise Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 505 San Marin Dr Ste 100b, Novato, California |
Authorized Official Name and Position | Brady Keith (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 6282507500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunrise Aba Llc 505 San Marin Dr Ste 100b Novato CA 94945-1309 Ph: () - | Sunrise Aba Llc 505 San Marin Dr Ste 100b Novato CA 94945-1309 Ph: (628) 250-7500 |
NPI Number | 1952972937 |
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Provider Enumeration Date | 07/09/2021 |
Last Update Date | 10/16/2023 |
Certification Date | 10/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952972937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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