Organization
AGLOW ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GOMEZ (CEO)
(669) 252-6423
Entity
Organization
Contact information
Practice address
3400 COTTAGE WAY STE G2, SACRAMENTO, CA 95825-1474
(669) 252-6423
Mailing address
3400 COTTAGE WAY STE G2, SACRAMENTO, CA 95825-1474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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