| Aba Therapy Center | |
|
10164 Ford Ave Ste D Richmond Hill GA 31324-3948 | |
| (912) 660-1100 | |
| Not Available |
| Full Name | Aba Therapy Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10164 Ford Ave Ste D, Richmond Hill, Georgia |
| Authorized Official Name and Position | Sally M Way Tully (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9126601100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Therapy Center Po Box 1822 Richmond Hill GA 31324-1822 Ph: (912) 660-1100 | Aba Therapy Center 10164 Ford Ave Ste D Richmond Hill GA 31324-3948 Ph: (912) 660-1100 |
| NPI Number | 1700127206 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 03/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700127206 | NPI | - | NPPES |
| 1-13-12747 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-12747 (* (Not Available)) | Primary |
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