Wellformed AI

NPI 1932724945 · live from the CMS NPI Registry

Aba 360

Behavior Analyst in San Diego, CA. National Provider Identifier 1932724945, active.

NPI record

NPI1932724945 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location9565 Waples St Ste 100, San Diego, CA 92121
Practice phone210-393-5743
Mailing address14781 Pomerado Rd # 11, Poway, CA 92064
EnumeratedJune 15, 2020
Last updatedFebruary 26, 2023
Authorized officialBertha Taylor, Founder

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.