Organization
ABAWORKS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YESENIA RODRIGUEZ BCBA (CLINICAL DIRECTOR)
(909) 621-0713
Entity
Organization
Contact information
Practice address
969 S VILLAGE OAKS DR STE 204, COVINA, CA 91724-0606
(909) 621-0713
(866) 579-6146
Mailing address
969 S VILLAGE OAKS DR STE 204, COVINA, CA 91724-0606
(909) 621-0713
(866) 579-6146
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-11-8970
CA
251S00000X
Community/Behavioral Health Agency
1-11-9303
CA
Other
Enumeration date
12/31/2013
Last updated
10/07/2015
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