Organization
PLAY ABA, LLC
Active
Other names
PLAY ABA
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIANA FACHIN MAT, BCBA (MANAGING MEMBER)
(408) 663-6652
Entity
Organization
Contact information
Practice address
19132 COZETTE LN, CUPERTINO, CA 95014-3538
(408) 663-6652
Mailing address
19132 COZETTE LN, CUPERTINO, CA 95014-3538
(408) 663-6652
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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