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NPI Code Detail

MEDICARE: HIGHER GOALS ABA CORP

MEDICARE: HIGHER GOALS ABA CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1134970650
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHER GOALS ABA CORP
Provider Business Mailing Address
First Line : 302 E CARSON AVE FL 10
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5905
Country : US
Telephone Number : 702-702-8513
Fax Number : 718-568-5271
Provider Business Practice Location Address
First Line : 302 E CARSON AVE FL 10
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5905
Country : US
Telephone Number : 702-702-8513
Fax Number : 718-568-5271
Authorized Official
Title or Position : DIRECTOR
Name : YOCHEVED B WASSERMAN
Credential : BCBA
Telephone Number : 845-596-2271
Provider Enumeration Date : 04/01/2024
Last Update Date : 04/01/2024

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Directions to “HIGHER GOALS ABA CORP ” Practice Location

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