| The Abc Group, L.l.c. | |
|
32663 Bush Garden Dr Harrisburg OR 97446-9751 | |
| (503) 780-0292 | |
| (503) 296-5396 |
| Full Name | The Abc Group, L.l.c. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 32663 Bush Garden Dr, Harrisburg, Oregon |
| Authorized Official Name and Position | Juan Rafael Mesa (FOUNDER & OWNER) |
| Authorized Official Contact | 5037800292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Abc Group, L.l.c. 32663 Bush Garden Dr Harrisburg OR 97446-9751 Ph: (503) 780-0292 | The Abc Group, L.l.c. 32663 Bush Garden Dr Harrisburg OR 97446-9751 Ph: (503) 780-0292 |
| NPI Number | 1104528348 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104528348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
A Behavioral Health Cooperative, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32663 Bush Garden Dr, Harrisburg, OR 97446 Phone: 503-780-0292 Fax: 503-296-5396 | |
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