| Serv Aba Llc | |
|
26822 Cherry Hills Blvd Unit 164 Menifee CA 92586-7007 | |
| (951) 606-4001 | |
| Not Available |
| Full Name | Serv Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 26822 Cherry Hills Blvd Unit 164, Menifee, California |
| Authorized Official Name and Position | Christine Mae Johnson-coppage (OPERATIONS MANAGER) |
| Authorized Official Contact | 9516064001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serv Aba Llc 26822 Cherry Hills Blvd Unit 164 Menifee CA 92586-7007 Ph: (951) 606-4001 | Serv Aba Llc 26822 Cherry Hills Blvd Unit 164 Menifee CA 92586-7007 Ph: (951) 606-4001 |
| NPI Number | 1396535969 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396535969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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