| Spirit Aba Az Llc | |
|
3320 N Stockton Hill Rd Ste C Kingman AZ 86409-3611 | |
| (303) 276-3995 | |
| Not Available |
| Full Name | Spirit Aba Az Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3320 N Stockton Hill Rd Ste C, Kingman, Arizona |
| Authorized Official Name and Position | Mark Kaufman (DIRECTOR) |
| Authorized Official Contact | 3032763995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Aba Az Llc 3320 N Stockton Hill Rd Ste C Kingman AZ 86409-3611 Ph: () - | Spirit Aba Az Llc 3320 N Stockton Hill Rd Ste C Kingman AZ 86409-3611 Ph: (303) 276-3995 |
| NPI Number | 1265308217 |
|---|---|
| Provider Enumeration Date | 10/16/2025 |
| Last Update Date | 10/16/2025 |
| Certification Date | 09/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265308217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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