| Advance Aba Llc | |
|
4735 Crestline View Rd Cumming GA 30028-6558 | |
| (908) 552-8750 | |
| Not Available |
| Full Name | Advance Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4735 Crestline View Rd, Cumming, Georgia |
| Authorized Official Name and Position | Jayapriya Jothimani (OWNER) |
| Authorized Official Contact | 9085528750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Aba Llc 4735 Crestline View Rd Cumming GA 30028-6558 Ph: (908) 552-8750 | Advance Aba Llc 4735 Crestline View Rd Cumming GA 30028-6558 Ph: (908) 552-8750 |
| NPI Number | 1427803196 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427803196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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