Organization
MAIDEN'S EMBRACE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFAH S GRADY BCBA (PRESIDENT)
(858) 253-0809
Entity
Organization
Contact information
Practice address
10985 PACIFIC POINT PL UNIT 1203, SAN DIEGO, CA 92129-2088
(858) 253-0809
(858) 261-0057
Mailing address
10985 PACIFIC POINT PL UNIT 1203, SAN DIEGO, CA 92129-2088
(858) 253-0809
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/22/2023
Last updated
05/14/2025
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