| Aba Therapy Center Llc | |
|
10164 Ford Ave Ste D Richmond Hill GA 31324-3948 | |
| (912) 459-9999 | |
| (912) 445-0023 |
| Full Name | Aba Therapy Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10164 Ford Ave Ste D, Richmond Hill, Georgia |
| Authorized Official Name and Position | William S Tully (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9124599999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Therapy Center Llc 10164 Ford Ave Ste D Richmond Hill GA 31324-3948 Ph: (912) 459-9999 | Aba Therapy Center Llc 10164 Ford Ave Ste D Richmond Hill GA 31324-3948 Ph: (912) 459-9999 |
| NPI Number | 1811316698 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811316698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-12747 (* (Not Available)) | Primary |
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