| Toba Esc Llc | |
|
3116 Old Faithful Rd Ste 200 Cheyenne WY 82001-5895 | |
| (307) 514-0305 | |
| Not Available |
| Full Name | Toba Esc Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3116 Old Faithful Rd Ste 200, Cheyenne, Wyoming |
| Authorized Official Name and Position | Amanda Weeks (DIRECTOR) |
| Authorized Official Contact | 3075140305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toba Esc Llc 3116 Old Faithful Rd Ste 200 Cheyenne WY 82001-5895 Ph: (307) 514-0305 | Toba Esc Llc 3116 Old Faithful Rd Ste 200 Cheyenne WY 82001-5895 Ph: (307) 514-0305 |
| NPI Number | 1114682531 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Certification Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114682531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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