| Homesteadaba, Llc | |
|
437 S Spruce St Casper WY 82601-1759 | |
| (307) 226-0479 | |
| (307) 226-0479 |
| Full Name | Homesteadaba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 437 S Spruce St, Casper, Wyoming |
| Authorized Official Name and Position | Ashleigh Tieszen (OWNER/BEHAVIOR ANALYST) |
| Authorized Official Contact | 3072260479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homesteadaba, Llc 437 S Spruce St Casper WY 82601-1759 Ph: (307) 226-0479 | Homesteadaba, Llc 437 S Spruce St Casper WY 82601-1759 Ph: (307) 226-0479 |
| NPI Number | 1912799891 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912799891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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