Willow Aba Services | |
904 Mountain Lion Cir Ste 400 Harker Heights TX 76548-5725 | |
(913) 375-3626 | |
Not Available |
Full Name | Willow Aba Services |
---|---|
Speciality | Behavior Analyst |
Location | 904 Mountain Lion Cir Ste 400, Harker Heights, Texas |
Authorized Official Name and Position | Tanner Sierks (OWNER) |
Authorized Official Contact | 9143753626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Willow Aba Services 7150 Campus Dr Ste 290 Colorado Springs CO 80920-6508 Ph: (800) 345-0448 | Willow Aba Services 904 Mountain Lion Cir Ste 400 Harker Heights TX 76548-5725 Ph: (913) 375-3626 |
NPI Number | 1679193528 |
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Provider Enumeration Date | 04/21/2020 |
Last Update Date | 11/27/2023 |
Certification Date | 04/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679193528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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