| Heartleaf Aba Llc | |
|
396 Griffin Rd Unit 106 Bangor ME 04401-3023 | |
| (207) 745-0750 | |
| Not Available |
| Full Name | Heartleaf Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 396 Griffin Rd Unit 106, Bangor, Maine |
| Authorized Official Name and Position | Rachael Morasky (CREDENTIALING LEAD) |
| Authorized Official Contact | 7753425817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartleaf Aba Llc 396 Griffin Rd Unit 106 Bangor ME 04401-3023 Ph: (207) 745-0750 | Heartleaf Aba Llc 396 Griffin Rd Unit 106 Bangor ME 04401-3023 Ph: (207) 745-0750 |
| NPI Number | 1063141174 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063141174 | NPI | - | NPPES |
| 39604401 | Other | ME | ADDRESS AND ZIP CODE |
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