Lifestyle Aba Therapy Llc | |
2599 Conestoga Ct Newburgh IN 47630-9333 | |
(270) 929-1008 | |
Not Available |
Full Name | Lifestyle Aba Therapy Llc |
---|---|
Speciality | Behavior Analyst |
Location | 2599 Conestoga Ct, Newburgh, Indiana |
Authorized Official Name and Position | Katrina Stocks (FOUNDER/CEO) |
Authorized Official Contact | 2709291008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifestyle Aba Therapy Llc 2599 Conestoga Ct Newburgh IN 47630-9333 Ph: () - | Lifestyle Aba Therapy Llc 2599 Conestoga Ct Newburgh IN 47630-9333 Ph: (270) 929-1008 |
NPI Number | 1295532687 |
---|---|
Provider Enumeration Date | 02/25/2025 |
Last Update Date | 02/25/2025 |
Certification Date | 02/25/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295532687 | NPI | - | NPPES |
1245872316 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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