| Olympic Aba Inc. | |
|
4645 Bell Street Port Townsend WA 98368 | |
| (360) 643-0034 | |
| (360) 208-0665 |
| Full Name | Olympic Aba Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4645 Bell Street, Port Townsend, Washington |
| Authorized Official Name and Position | Joan Gitelman (BCBA PRESIDENT) |
| Authorized Official Contact | 3606430034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Aba Inc. 4645 Bell Street Port Townsend WA 98368 Ph: (360) 643-0034 | Olympic Aba Inc. 4645 Bell Street Port Townsend WA 98368 Ph: (360) 643-0034 |
| NPI Number | 1306398136 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306398136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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