Organization
SEEDS OF ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OOSHIE OLDHAM (CEO)
(866) 342-8847
Entity
Organization
Contact information
Practice address
20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
(866) 342-8847
(866) 342-8847
Mailing address
20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
(866) 342-8847
(866) 342-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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