Organization
COSMIC CARE ABA
Active
Other names
Service to Achieve Growth and Empower, Inc., SAGE ABA
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY HOFFMAN (PRESIDENT)
(805) 415-2441
Entity
Organization
Contact information
Practice address
1317 DEL NORTE RD STE 220A, CAMARILLO, CA 93010-8593
(805) 415-2441
(805) 654-9815
Mailing address
44 DUVALI DR, VENTURA, CA 93003-2151
(805) 415-2441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
10/03/2020
Last updated
03/22/2023
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