| Target Aba | |
|
6005 Landerhaven Dr Ste B1 Mayfield Heights OH 44124-4042 | |
| (216) 343-1198 | |
| Not Available |
| Full Name | Target Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6005 Landerhaven Dr Ste B1, Mayfield Heights, Ohio |
| Authorized Official Name and Position | Joshua Gross (OWNER) |
| Authorized Official Contact | 2163174075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Target Aba 28080 Chardon Rd Ste 208 Willoughby Hills OH 44092-3000 Ph: (216) 317-4075 | Target Aba 6005 Landerhaven Dr Ste B1 Mayfield Heights OH 44124-4042 Ph: (216) 343-1198 |
| NPI Number | 1902583081 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902583081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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