| Willow Aba Services Llc | |
|
609a Piner Rd Wilmington NC 28409-4201 | |
| (720) 319-7614 | |
| Not Available |
| Full Name | Willow Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 609a Piner Rd, Wilmington, North Carolina |
| Authorized Official Name and Position | Tanner Sierks (OWNER) |
| Authorized Official Contact | 7203197614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Aba Services Llc 8000 S Lincoln St Ste 10 Littleton CO 80122-2725 Ph: (405) 408-3941 | Willow Aba Services Llc 609a Piner Rd Wilmington NC 28409-4201 Ph: (720) 319-7614 |
| NPI Number | 1952046039 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952046039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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