Innovate Aba

NPI #1346863529 in Irvine, California

Provider Information

NPI Number: 1346863529
Entity Type: Organization
Organization Name: Innovate Aba
Primary Specialty: Behavior Analyst
Enumeration Date: May 22, 2020
Last Updated: May 22, 2020

Practice Location

Address: 5405 ALTON PKWY STE 5A
Address 2: #430
City: Irvine
State: California
ZIP Code: 92604-3717
Phone: (714) 580-5969

Authorized Official

Name: MS. BROOKE TAWANNA, MS, BCBA
Title: OWNER
Phone: (714) 580-5969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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