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Organization
COSMIC CARE ABA
Active
Organization
COSMIC CARE ABA
Active
Other names
Service to Achieve Growth and Empower, Inc., SAGE ABA
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY HOFFMAN (PRESIDENT)
(805) 415-2441
Entity
Organization
Contact information
Practice address
1317 DEL NORTE RD STE 220A, CAMARILLO, CA 93010-8593
(805) 415-2441
(805) 654-9815
Mailing address
44 DUVALI DR, VENTURA, CA 93003-2151
(805) 415-2441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
10/03/2020
Last updated
03/22/2023
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