NPI 1912662479 · live from the CMS NPI Registry
Aba Golden Steps Mn LLC
Behavior Analyst in Roseville, MN. National Provider Identifier 1912662479, active.
NPI record
| NPI | 1912662479 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2355 Highway 36 W Ste 400, Roseville, MN 55113 |
| Practice phone | 828-351-4466 |
| Mailing address | 560 Sylvan Ave Ste 1110, Englewood Cliffs, NJ 07632 |
| Enumerated | November 1, 2021 |
| Last updated | November 1, 2021 |
| Authorized official | Yisroel Wolmark, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.