| Fortitude Aba Llc | |
|
209 Gothic Ct Ste 108 Franklin TN 37067-2812 | |
| (951) 553-0110 | |
| Not Available |
| Full Name | Fortitude Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 209 Gothic Ct Ste 108, Franklin, Tennessee |
| Authorized Official Name and Position | Frank Anthony Melia (OWNER) |
| Authorized Official Contact | 9515530110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Aba Llc 1422 Marrimans Ct Franklin TN 37067-8576 Ph: (951) 553-0110 | Fortitude Aba Llc 209 Gothic Ct Ste 108 Franklin TN 37067-2812 Ph: (951) 553-0110 |
| NPI Number | 1508629452 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508629452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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