| Genesis Aba, Llc | |
|
1650 Ashbury Ln Romeoville IL 60446-4887 | |
| (815) 999-1524 | |
| Not Available |
| Full Name | Genesis Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1650 Ashbury Ln, Romeoville, Illinois |
| Authorized Official Name and Position | Debbie Ann Miranda (BCBA/OWNER) |
| Authorized Official Contact | 8159991524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Aba, Llc 1650 Ashbury Ln Romeoville IL 60446-4887 Ph: (815) 999-1524 | Genesis Aba, Llc 1650 Ashbury Ln Romeoville IL 60446-4887 Ph: (815) 999-1524 |
| NPI Number | 1316693716 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316693716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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