| The Adaptive Athlete, Inc. | |
|
2028 W 11th St Upland CA 91786-3509 | |
| (909) 931-2764 | |
| Not Available |
| Full Name | The Adaptive Athlete, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2028 W 11th St, Upland, California |
| Authorized Official Name and Position | Linda J Weidner (PRESIDENT) |
| Authorized Official Contact | 9098418960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Adaptive Athlete, Inc. 2028 W 11th St Upland CA 91786-3509 Ph: (909) 931-2764 | The Adaptive Athlete, Inc. 2028 W 11th St Upland CA 91786-3509 Ph: (909) 931-2764 |
| NPI Number | 1912785882 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912785882 | NPI | - | NPPES |
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