| Daytastic Aba, LLC | |
|
116 W Sherman Way Ste 1 Nixa MO 65714-9022 | |
| (417) 298-0984 | |
| Not Available |
| Full Name | Daytastic Aba, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 116 W Sherman Way Ste 1, Nixa, Missouri |
| Authorized Official Name and Position | Heather Marie Felske (BEHAVIOR ANALYST) |
| Authorized Official Contact | 2818838783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daytastic Aba, LLC 116 W Sherman Way Ste 1 Nixa MO 65714-9022 Ph: (417) 298-0984 | Daytastic Aba, LLC 116 W Sherman Way Ste 1 Nixa MO 65714-9022 Ph: (417) 298-0984 |
| NPI Number | 1801473533 |
|---|---|
| Provider Enumeration Date | 03/27/2021 |
| Last Update Date | 03/27/2021 |
| Certification Date | 03/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801473533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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