| Aba 411 Pllc | |
|
8904 Hunter Point Rd Nw Olympia WA 98502-9646 | |
| (360) 338-8479 | |
| Not Available |
| Full Name | Aba 411 Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8904 Hunter Point Rd Nw, Olympia, Washington |
| Authorized Official Name and Position | John Pangelinan (OWNER) |
| Authorized Official Contact | 2066043486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba 411 Pllc 8904 Hunter Point Rd Nw Olympia WA 98502-9646 Ph: (360) 338-8479 | Aba 411 Pllc 8904 Hunter Point Rd Nw Olympia WA 98502-9646 Ph: (360) 338-8479 |
| NPI Number | 1265231732 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265231732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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