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Organization
KIDS PLACE 4 ABA INC
Active
Organization
KIDS PLACE 4 ABA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY COPENHAVER (OWNER)
(775) 710-1688
Entity
Organization
Contact information
Practice address
3079 HARRISON AVE #12, SUITE 111, SOUTH LAKE TAHOE, CA 96150
(775) 710-1688
Mailing address
2106 CHICORY WAY, RENO, NV 89509-5844
(775) 710-1688
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881323141
—
NV
01
—
EIN
MEDICAL BIILING
—
Enumeration date
09/26/2022
Last updated
03/02/2026
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