Organization · NPI-2
Aba Spot
Clinic/Center, Multi-Specialty · San Jose, CA
NPI number1871077180
StatusActive
Last updated in NPPESSep 21, 2018
Details
- NPI
- 1871077180
- Entity type
- Organization (NPI-2)
- Legal business name
- Aba Spot
- Organization subpart
- No
- Enumeration date
- Sep 21, 2018
- Last updated
- Sep 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 103K00000X | Behavior Analyst | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 261QA3000X | Clinic/Center, Augmentative Communication | – | – | |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – |
Practice location
920 Saratoga Ave Ste 102San Jose, CA 95129-3445
Phone 408-244-1743 · Fax 408-212-9620
Mailing address
920 Saratoga Ave Ste 102San Jose, CA 95129-3445
Phone 408-244-1743 · Fax 408-212-9620
Authorized official
Samrat Roy
Speech Language Pathologist/Coo
4082441743
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