| Total Care Aba Me Llc | |
|
254 Commercial St Ste 245 Portland ME 04101-4899 | |
| (404) 400-5004 | |
| Not Available |
| Full Name | Total Care Aba Me Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 254 Commercial St Ste 245, Portland, Maine |
| Authorized Official Name and Position | Ruben Kesherim (CEO) |
| Authorized Official Contact | 5166705374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Care Aba Me Llc 254 Commercial St Ste 245 Portland ME 04101-4899 Ph: () - | Total Care Aba Me Llc 254 Commercial St Ste 245 Portland ME 04101-4899 Ph: (404) 400-5004 |
| NPI Number | 1922878131 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922878131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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