| Supportive Care Aba NM LLC | |
|
120 E Grand Ave Ste 156 Clovis NM 88101-7549 | |
| (317) 936-1240 | |
| Not Available |
| Full Name | Supportive Care Aba NM LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 120 E Grand Ave Ste 156, Clovis, New Mexico |
| Authorized Official Name and Position | Ruben Kesherim (CEO) |
| Authorized Official Contact | 3179361240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Aba NM LLC 120 E Grand Ave Ste 156 Clovis NM 88101-7549 | Supportive Care Aba NM LLC 120 E Grand Ave Ste 156 Clovis NM 88101-7549 Ph: (317) 936-1240 |
| NPI Number | 1023920865 |
|---|---|
| Provider Enumeration Date | 09/17/2026 |
| Last Update Date | 09/17/2026 |
| Certification Date | 09/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023920865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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