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Organization

INNOVATE ABA

Active
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Organization

INNOVATE ABA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BROOKE TAWANNA MS, BCBA (OWNER)
(714) 580-5969
Entity
Organization

Contact information

Practice address
5405 ALTON PKWY STE 5A, #430, IRVINE, CA 92604-3717
(714) 580-5969
Mailing address
5405 ALTON PKWY STE 5A, #430, IRVINE, CA 92604-3717

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/22/2020
Last updated
05/22/2020
About Stedi
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  • EDI platform