| Empowered Growth Aba | |
|
311 Bannerman Ct Unit 5287 El Dorado Hills CA 95762-5473 | |
| (530) 355-5137 | |
| Not Available |
| Full Name | Empowered Growth Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 311 Bannerman Ct Unit 5287, El Dorado Hills, California |
| Authorized Official Name and Position | Elisabeth Mathewson (EXECUTIVE OFFICER) |
| Authorized Official Contact | 5303555137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Growth Aba 4641 Post St Unit 5287 El Dorado Hills CA 95762-3012 Ph: (530) 355-5137 | Empowered Growth Aba 311 Bannerman Ct Unit 5287 El Dorado Hills CA 95762-5473 Ph: (530) 355-5137 |
| NPI Number | 1447055272 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447055272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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