Organization
MY ABA ARIZONA LLC
Active
Other names
My ABA
Organization subpart
No
Provider details
NPI number
Authorized official
BLAYNE MILBURN (CEO)
(541) 218-7576
Entity
Organization
Contact information
Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(541) 218-7576
Mailing address
1353 N FULLER AVE PH 2, LOS ANGELES, CA 90046-4996
(541) 218-7576
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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