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Organization
INNOVATIVE VITALITY ABA INC.
Active
Organization
INNOVATIVE VITALITY ABA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAMAZ HABROUN BCBA (OWNER)
(661) 477-5977
Entity
Organization
Contact information
Practice address
11211 RANCHO CORDOVA ST, BAKERSFIELD, CA 93311-9128
(661) 477-5977
Mailing address
11211 RANCHO CORDOVA ST, BAKERSFIELD, CA 93311-9128
(661) 477-5977
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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