| Jumpstart Aba, LLC | |
|
8605 Santa Monica Blvd # 188287 West Hollywood CA 90069-4109 | |
| (805) 587-2759 | |
| (805) 307-0499 |
| Full Name | Jumpstart Aba, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8605 Santa Monica Blvd # 188287, West Hollywood, California |
| Authorized Official Name and Position | Laura Anne Truex (CLINICAL MANAGER, CEO) |
| Authorized Official Contact | 8055872759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jumpstart Aba, LLC 8605 Santa Monica Blvd # 188287 West Hollywood CA 90069-4109 Ph: (805) 587-2759 | Jumpstart Aba, LLC 8605 Santa Monica Blvd # 188287 West Hollywood CA 90069-4109 Ph: (805) 587-2759 |
| NPI Number | 1275402711 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 11/03/2025 |
| Certification Date | 11/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275402711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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