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Organization
OMOTO ABA CONSULTING, LLC
Active
Organization
OMOTO ABA CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN JASON OMOTO MS, BCBA (EXECUTIVE DIRECTOR)
(619) 215-1949
Entity
Organization
Contact information
Practice address
5111 DIANE AVE, SAN DIEGO, CA 92117-1356
(916) 549-2244
Mailing address
3952D CLAIREMONT MESA BLVD # 387, SAN DIEGO, CA 92117-2714
(619) 215-1949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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