| Canvas Aba, LLC | |
|
14886 Us Highway 17 Hampstead NC 28443-3217 | |
| (910) 746-7187 | |
| Not Available |
| Full Name | Canvas Aba, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14886 Us Highway 17, Hampstead, North Carolina |
| Authorized Official Name and Position | Kayla Zambron (OWNER) |
| Authorized Official Contact | 9107467187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Aba, LLC 770 Highlands Dr Hampstead NC 28443-7438 | Canvas Aba, LLC 14886 Us Highway 17 Hampstead NC 28443-3217 Ph: (910) 746-7187 |
| NPI Number | 1285394601 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285394601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
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