| Beautiful Hearts Aba, Llc | |
|
210 Harmon Rd #1052 Kernersville NC 27284 | |
| (252) 506-3556 | |
| Not Available |
| Full Name | Beautiful Hearts Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 210 Harmon Rd, Kernersville, North Carolina |
| Authorized Official Name and Position | Latisha M Overton (CEO/FOUNDER) |
| Authorized Official Contact | 2525063556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Hearts Aba, Llc 210 Harmon Rd #1052 Kernersville NC 27284 Ph: (252) 506-3556 | Beautiful Hearts Aba, Llc 210 Harmon Rd #1052 Kernersville NC 27284 Ph: (252) 506-3556 |
| NPI Number | 1063241420 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063241420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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