| Transformative Aba Llc | |
|
142 County Ranch Road 2748 Rio Frio TX 78879 | |
| (830) 279-6157 | |
| Not Available |
| Full Name | Transformative Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 142 County Ranch Road 2748, Rio Frio, Texas |
| Authorized Official Name and Position | Melissa Ahlschlager (CEO) |
| Authorized Official Contact | 8302796157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Aba Llc 142 County Ranch Road 2748 Rio Frio TX 78879 Ph: () - | Transformative Aba Llc 142 County Ranch Road 2748 Rio Frio TX 78879 Ph: (830) 279-6157 |
| NPI Number | 1356123194 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 01/25/2024 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356123194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |