Provider Demographics
NPI:1184517245
Name:IMABA INC.
Entity type:Organization
Organization Name:IMABA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & BCBA
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VUE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:559-790-8136
Mailing Address - Street 1:3251 SALEM AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-8278
Mailing Address - Country:US
Mailing Address - Phone:559-790-8136
Mailing Address - Fax:844-946-0884
Practice Address - Street 1:6235 N FRESNO ST STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5269
Practice Address - Country:US
Practice Address - Phone:559-977-7321
Practice Address - Fax:844-946-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty