| Simple Aba Llc. | |
|
9464 9th Ave Ste A Hesperia CA 92345-3483 | |
| (442) 356-0884 | |
| (442) 800-5697 |
| Full Name | Simple Aba Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9464 9th Ave Ste A, Hesperia, California |
| Authorized Official Name and Position | Duvan Martinez (OWNER) |
| Authorized Official Contact | 7604902192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Aba Llc. 9464 9th Ave Ste A Hesperia CA 92345-3483 Ph: (442) 356-0884 | Simple Aba Llc. 9464 9th Ave Ste A Hesperia CA 92345-3483 Ph: (442) 356-0884 |
| NPI Number | 1578216404 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578216404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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