Aba Twenty-nine Eleven Llc | |
2755 Carrollton Hwy Temple GA 30179-4920 | |
(404) 275-0514 | |
Not Available |
Full Name | Aba Twenty-nine Eleven Llc |
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Speciality | Behavior Analyst |
Location | 2755 Carrollton Hwy, Temple, Georgia |
Authorized Official Name and Position | Kimberly Waldrop (OWNER/BCBA) |
Authorized Official Contact | 4042750514 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aba Twenty-nine Eleven Llc 2755 Carrollton Hwy Temple GA 30179-4920 Ph: (404) 275-0514 | Aba Twenty-nine Eleven Llc 2755 Carrollton Hwy Temple GA 30179-4920 Ph: (404) 275-0514 |
NPI Number | 1265296107 |
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Provider Enumeration Date | 02/12/2024 |
Last Update Date | 02/12/2024 |
Certification Date | 02/11/2024 |
Identifier | Type | State | Issuer |
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1265296107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |