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Organization
WILLOW ABA SERVICES LLC
Active
Organization
WILLOW ABA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER SIERKS (OWNER)
(913) 375-3626
Entity
Organization
Contact information
Practice address
2815 EXCHANGE BLVD STE 100, SOUTHLAKE, TX 76092-7515
(913) 375-3626
Mailing address
7150 CAMPUS DR STE 290, COLORADO SPRINGS, CO 80920-6508
(913) 375-3626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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