| Coastal Carolina Aba, Llc | |
|
538 Herbie Rd Roseboro NC 28382-7076 | |
| (910) 990-9913 | |
| Not Available |
| Full Name | Coastal Carolina Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 538 Herbie Rd, Roseboro, North Carolina |
| Authorized Official Name and Position | Amber Irvin (FOUNDER & BEHAVIOR ANALYST) |
| Authorized Official Contact | 9109909913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina Aba, Llc 538 Herbie Rd Roseboro NC 28382-7076 Ph: (910) 990-9913 | Coastal Carolina Aba, Llc 538 Herbie Rd Roseboro NC 28382-7076 Ph: (910) 990-9913 |
| NPI Number | 1295389872 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295389872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Restart, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 North East Street, Roseboro, NC 28382 Phone: 252-355-4725 | |
Upscale Residential Care, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 North Maple Place, Roseboro, NC 28382 Phone: 919-789-1154 Fax: 866-786-3576 |