| Victoria Nj Aba Llc | |
|
16 Lyman Ave Johnston RI 02919-2714 | |
| (862) 417-4746 | |
| Not Available |
| Full Name | Victoria Nj Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16 Lyman Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Andres Zuniga (CEO) |
| Authorized Official Contact | 9144813262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Nj Aba Llc 701 State Route 440 Ste 16 Jersey City, New Jersey #1094 Jersey City NJ 07304-1069 Ph: (862) 417-4746 | Victoria Nj Aba Llc 16 Lyman Ave Johnston RI 02919-2714 Ph: (862) 417-4746 |
| NPI Number | 1508694167 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508694167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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