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Individual

ADI WAISSMAN-SABAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA BCBA

Contact information

Practice address
10650 E BETHANY DRIVE, AURORA, CO 80014
(800) 536-2340
Mailing address
10650 E BETHANY DRIVE, AURORA, CO 80014
(800) 536-2340

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
17770106

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17770106
CO
Enumeration date
04/06/2017
Last updated
03/12/2021
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