Provider Demographics
NPI:1396207817
Name:ROMAN EMPIRE ABA AGENCY INC
Entity Type:Organization
Organization Name:ROMAN EMPIRE ABA AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCIDO
Authorized Official - Suffix:
Authorized Official - Credentials:JD, LLM, MED
Authorized Official - Phone:626-833-8424
Mailing Address - Street 1:9917 E BELL RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2397
Mailing Address - Country:US
Mailing Address - Phone:626-833-8424
Mailing Address - Fax:818-450-0281
Practice Address - Street 1:9917 E BELL RD STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2397
Practice Address - Country:US
Practice Address - Phone:626-833-8424
Practice Address - Fax:818-450-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health