Organization
ABA ADAPTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDI RENEE TEABOUT M. ED. BCBA (CEO)
(760) 230-1594
Entity
Organization
Contact information
Practice address
2340 CAROL VIEW DR APT 311, CARDIFF, CA 92007-2048
(734) 795-5988
Mailing address
2340 CAROL VIEW DR APT 311, CARDIFF, CA 92007-2048
(734) 795-5988
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28184
CO
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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