Divergent Minds Aba Llc | |
108 New Edition Ct Cary NC 27511-4449 | |
(919) 377-2198 | |
Not Available |
Full Name | Divergent Minds Aba Llc |
---|---|
Speciality | Behavior Analyst |
Location | 108 New Edition Ct, Cary, North Carolina |
Authorized Official Name and Position | Jessica Ziobro (OWNER) |
Authorized Official Contact | 8109223464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Divergent Minds Aba Llc 1000 Appalachin Dr Fayetteville NC 28311-0107 Ph: () - | Divergent Minds Aba Llc 108 New Edition Ct Cary NC 27511-4449 Ph: (919) 377-2198 |
NPI Number | 1952095044 |
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Provider Enumeration Date | 06/02/2023 |
Last Update Date | 02/22/2024 |
Certification Date | 02/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952095044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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