Organization
ABA MAGICAL MOMENTS AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KLEIN (OWNER)
(317) 648-9509
Entity
Organization
Contact information
Practice address
3218 E BELL RD STE 3002, PHOENIX, AZ 85032-2727
(317) 648-9509
Mailing address
3218 E BELL RD STE 3002, PHOENIX, AZ 85032-2727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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