| Moving Mountains Llc | |
|
8870 Artwood Ct Elk Grove CA 95758-5671 | |
| (540) 993-3422 | |
| Not Available |
| Full Name | Moving Mountains Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8870 Artwood Ct, Elk Grove, California |
| Authorized Official Name and Position | Anneliza Ross (BCBA) |
| Authorized Official Contact | 5409933422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Mountains Llc 8870 Artwood Ct Elk Grove CA 95758-5671 Ph: (540) 993-3422 | Moving Mountains Llc 8870 Artwood Ct Elk Grove CA 95758-5671 Ph: (540) 993-3422 |
| NPI Number | 1104406156 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104406156 | NPI | - | NPPES |
| 1740607027 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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