Organization
ABA ALLSTARS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIA SHEEHAN BCBA (CEO)
(209) 712-2614
Entity
Organization
Contact information
Practice address
123 N CALIFORNIA ST, LODI, CA 95240-1903
(209) 712-2614
Mailing address
123 N CALIFORNIA ST, LODI, CA 95240-1903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23642
CA
Other
Enumeration date
11/18/2017
Last updated
11/18/2017
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