Healthcare Provider Details

I. General information

NPI: 1013771336
Provider Name (Legal Business Name): RORI ABA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1438 1/2 GROVE ST
SAN FRANCISCO CA
94117-1422
US

IV. Provider business mailing address

1438 1/2 GROVE ST
SAN FRANCISCO CA
94117-1422
US

V. Phone/Fax

Practice location:
  • Phone: 925-794-0754
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: JESSLYN FARROS
Title or Position: FOUNDING BCBA
Credential: PHD, BCBA-D
Phone: 925-383-0372