ABW CREATIONS, LLC

700 LARKSPUR LANDING CIR, SUITE 199, LARKSPUR, CA, 949391715

atlas:atm_npi_1235494659

Block 2012Block Group 2Census Tract 1212Marin County California United States

What is stored

phone: 415-295-1555
status: A
address: 700 LARKSPUR LANDING CIR, SUITE 199, LARKSPUR, CA, 949391715
npi: 1235494659
taxonomy: Behavior Analyst
other names: ["BEHAVIOR EDUCATION AND MANAGEMENT (BEAM)"]
last updated: 2012-07-11
taxonomy code: 103K00000X
all taxonomies: ["Behavior Analyst"]
enumeration date: 2012-07-11
enumeration type: NPI-2
practice locations: 0
authorized official: DONALD WACHELKA
organizational subpart: NO

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{
  "npi": "1235494659",
  "phone": "415-295-1555",
  "status": "A",
  "address": "700 LARKSPUR LANDING CIR, SUITE 199, LARKSPUR, CA, 949391715",
  "license": null,
  "taxonomy": "Behavior Analyst",
  "other_names": [
    "BEHAVIOR EDUCATION AND MANAGEMENT (BEAM)"
  ],
  "last_updated": "2012-07-11",
  "license_state": null,
  "taxonomy_code": "103K00000X",
  "all_taxonomies": [
    "Behavior Analyst"
  ],
  "enumeration_date": "2012-07-11",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "DONALD WACHELKA",
  "organizational_subpart": "NO"
}