| Agape Aba Services Inc | |
|
11324 Amigo Ave Porter Ranch CA 91326-2118 | |
| (818) 634-5761 | |
| Not Available |
| Full Name | Agape Aba Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11324 Amigo Ave, Porter Ranch, California |
| Authorized Official Name and Position | June Broom (OWNER) |
| Authorized Official Contact | 8186345761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Aba Services Inc 11324 Amigo Ave Porter Ranch CA 91326-2118 Ph: (818) 634-5761 | Agape Aba Services Inc 11324 Amigo Ave Porter Ranch CA 91326-2118 Ph: (818) 634-5761 |
| NPI Number | 1003561515 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003561515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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