| The Dozen Aba Llc | |
|
1000 Station Dr Ste 205 Dupont WA 98327-8727 | |
| (775) 453-8167 | |
| (253) 353-7991 |
| Full Name | The Dozen Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1000 Station Dr Ste 205, Dupont, Washington |
| Authorized Official Name and Position | Deric Toney (BCBA-D) |
| Authorized Official Contact | 7754538167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dozen Aba Llc 1000 Station Dr Ste 205 Dupont WA 98327-8727 Ph: (775) 453-8167 | The Dozen Aba Llc 1000 Station Dr Ste 205 Dupont WA 98327-8727 Ph: (775) 453-8167 |
| NPI Number | 1871067835 |
|---|---|
| Provider Enumeration Date | 01/13/2019 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871067835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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