Provider Demographics
NPI:1104567312
Name:SCRAPBOOKING ABA
Entity type:Organization
Organization Name:SCRAPBOOKING ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:559-496-9855
Mailing Address - Street 1:2398 S HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-4464
Mailing Address - Country:US
Mailing Address - Phone:559-496-9855
Mailing Address - Fax:
Practice Address - Street 1:2398 S HOLLY AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-4464
Practice Address - Country:US
Practice Address - Phone:559-496-9855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty