Organization
ZINNIA ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT YATES (CONTRACT MANAGER)
(877) 262-7803
Entity
Organization
Contact information
Practice address
3822 CAMPUS DR STE 500, NEWPORT BEACH, CA 92660-2674
(877) 262-7803
Mailing address
3822 CAMPUS DR STE 500, NEWPORT BEACH, CA 92660-2674
(877) 262-7803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/01/2024
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