| Bay Aba, LLC | |
|
3331 Brittan Ave Apt. 8 San Carlos CA 94070-3438 | |
| (502) 494-8897 | |
| Not Available |
| Full Name | Bay Aba, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3331 Brittan Ave, San Carlos, California |
| Authorized Official Name and Position | Leah C Wood (CO-FOUNDER) |
| Authorized Official Contact | 5024948897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Aba, LLC 3331 Brittan Ave Apt. 8 San Carlos CA 94070-3438 Ph: (502) 494-8897 | Bay Aba, LLC 3331 Brittan Ave Apt. 8 San Carlos CA 94070-3438 Ph: (502) 494-8897 |
| NPI Number | 1497292965 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497292965 | NPI | - | NPPES |
| 1487959771 | Other | CA | NPI |
| 1508137168 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-13782 (California) | Primary |
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