| Rogue Aba California Llc | |
|
8910 University Center Ln Ste 204 San Diego CA 92122-1023 | |
| (603) 692-8173 | |
| Not Available |
| Full Name | Rogue Aba California Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8910 University Center Ln Ste 204, San Diego, California |
| Authorized Official Name and Position | Cf True (CEO) |
| Authorized Official Contact | 6036928173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Aba California Llc 8910 University Center Ln Ste 204 San Diego CA 92122-1023 Ph: (603) 692-8173 | Rogue Aba California Llc 8910 University Center Ln Ste 204 San Diego CA 92122-1023 Ph: (603) 692-8173 |
| NPI Number | 1043050248 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043050248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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