Common Ground Support | |
699 Salisbury Rd Hendersonville NC 28792-8524 | |
(732) 685-2991 | |
Not Available |
Full Name | Common Ground Support |
---|---|
Speciality | Behavior Analyst |
Location | 699 Salisbury Rd, Hendersonville, North Carolina |
Authorized Official Name and Position | Jordan Tyrone Rogers (OWNER) |
Authorized Official Contact | 7326852991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Common Ground Support 622 Fremont Ave Daytona Beach FL 32114-6071 Ph: (732) 685-2991 | Common Ground Support 699 Salisbury Rd Hendersonville NC 28792-8524 Ph: (732) 685-2991 |
NPI Number | 1093590465 |
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Provider Enumeration Date | 08/25/2023 |
Last Update Date | 09/01/2023 |
Certification Date | 09/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093590465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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