| Excel Aba, Llc | |
|
116 Bayview Dr Richmond KY 40475-7511 | |
| (859) 248-0621 | |
| (859) 957-1890 |
| Full Name | Excel Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 116 Bayview Dr, Richmond, Kentucky |
| Authorized Official Name and Position | Luna Moriah Mia Weiss-salinas (MEMBER) |
| Authorized Official Contact | 8592480621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Aba, Llc 116 Bayview Dr Richmond KY 40475-7511 Ph: (859) 248-0621 | Excel Aba, Llc 116 Bayview Dr Richmond KY 40475-7511 Ph: (859) 248-0621 |
| NPI Number | 1174946529 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174946529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0024 (Kentucky) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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