| B.a.s.i.c. Aba, Llc | |
|
607 W Parkway St Denton TX 76201-9049 | |
| (817) 689-6929 | |
| (940) 808-0265 |
| Full Name | B.a.s.i.c. Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 607 W Parkway St, Denton, Texas |
| Authorized Official Name and Position | Juilanne Marie Griffith (OWNER) |
| Authorized Official Contact | 8176896929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B.a.s.i.c. Aba, Llc 607 W Parkway St Denton TX 76201-9049 Ph: (817) 689-6929 | B.a.s.i.c. Aba, Llc 607 W Parkway St Denton TX 76201-9049 Ph: (817) 689-6929 |
| NPI Number | 1992079842 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 02/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992079842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-08-4680 (Texas) | Primary |
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