| Affable Aba Pllc | |
|
84 W Broadway Ste 200 Derry NH 03038-2323 | |
| (978) 771-2863 | |
| Not Available |
| Full Name | Affable Aba Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 84 W Broadway Ste 200, Derry, New Hampshire |
| Authorized Official Name and Position | John Gottfried (OWNER) |
| Authorized Official Contact | 9787712863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affable Aba Pllc 84 W Broadway Ste 200 Derry NH 03038-2323 Ph: (978) 771-2863 | Affable Aba Pllc 84 W Broadway Ste 200 Derry NH 03038-2323 Ph: (978) 771-2863 |
| NPI Number | 1427810225 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427810225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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