Provider Demographics
NPI: | 1558507277 |
---|---|
Name: | ABRITE LLC |
Entity Type: | Organization |
Organization Name: | ABRITE LLC |
Other - Org Name: | THE ABRITE ORGANIZATION |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | DIRECTOR OPERATIONS & DEVELOPMENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | GINGER |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RAABE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD, BCBA |
Authorized Official - Phone: | 844-322-7483 |
Mailing Address - Street 1: | 749 37TH AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | SANTA CRUZ |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95062-5124 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 844-322-7483 |
Mailing Address - Fax: | 888-334-7021 |
Practice Address - Street 1: | 749 37TH AVE |
Practice Address - Street 2: | |
Practice Address - City: | SANTA CRUZ |
Practice Address - State: | CA |
Practice Address - Zip Code: | 95062-5124 |
Practice Address - Country: | US |
Practice Address - Phone: | 844-322-7483 |
Practice Address - Fax: | 888-334-7021 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-12-30 |
Last Update Date: | 2021-04-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | 032292 | 252Y00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 252Y00000X | Agencies | Early Intervention Provider Agency |