| Go Aba Therapy Llc | |
|
3086 Ramblewood St Portage IN 46368-7220 | |
| (219) 299-7187 | |
| Not Available |
| Full Name | Go Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3086 Ramblewood St, Portage, Indiana |
| Authorized Official Name and Position | Dennis A Smith (OWNER) |
| Authorized Official Contact | 2192997187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Go Aba Therapy Llc 3086 Ramblewood St Portage IN 46368-7220 Ph: (219) 299-7187 | Go Aba Therapy Llc 3086 Ramblewood St Portage IN 46368-7220 Ph: (219) 299-7187 |
| NPI Number | 1568031680 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 07/05/2021 |
| Certification Date | 07/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568031680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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