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NPI Code Detail

MEDICARE: AVID ABA SERVICES

MEDICARE: AVID ABA SERVICES
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1205370806
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVID ABA SERVICES
Provider Business Mailing Address
First Line : 562 W GRAND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-2502
Country : US
Telephone Number : 760-691-9622
Fax Number : 760-797-1845
Provider Business Practice Location Address
First Line : 562 W GRAND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-2502
Country : US
Telephone Number : 760-691-9622
Fax Number : 760-797-1845
Authorized Official
Title or Position : OFFICER
Name : SARAI MARCELIN
Credential :
Telephone Number : 760-691-9622
Provider Enumeration Date : 12/15/2016
Last Update Date : 02/03/2021

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Directions to “AVID ABA SERVICES ” Practice Location

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