| Homegrown Aba, Llc | |
|
3560 Verger Ln Cincinnati OH 45237-2512 | |
| (440) 223-9161 | |
| Not Available |
| Full Name | Homegrown Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3560 Verger Ln, Cincinnati, Ohio |
| Authorized Official Name and Position | Michael Goldberg (FOUNDER) |
| Authorized Official Contact | 4402239161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homegrown Aba, Llc 3560 Verger Ln Cincinnati OH 45237-2512 Ph: () - | Homegrown Aba, Llc 3560 Verger Ln Cincinnati OH 45237-2512 Ph: (440) 223-9161 |
| NPI Number | 1154043834 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154043834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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