Wolfpack Aba, Llc

LBN: Wolfpack Aba, Llc
Wolfpack Aba, Llc is an health care organization with primary practice located at 25875 Lake Shore Ln , Moreno Valley CA 92551-1651. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Wolfpack Aba, Llc can be contacted via phone (714) 552-8972, or through Degravio, Peter via phone (714) 253-2682.

Contact Information

Primary practice address
25875 Lake Shore Ln Moreno Valley CA 92551-1651
Phone: (714) 552-8972
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Degravio, Peter BCBA
Phone: (714) 253-2682

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1588323729
LBN Legal business name Wolfpack Aba, Llc
DBA Doing business as
Authorized official Degravio, Peter BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2021
Last updated Dec 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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