| Hope Aba Llc | |
|
10221 Ford Ave Ste 1 Richmond Hill GA 31324-0259 | |
| (912) 445-6063 | |
| (912) 445-6064 |
| Full Name | Hope Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10221 Ford Ave Ste 1, Richmond Hill, Georgia |
| Authorized Official Name and Position | Christi Lee Brock Martin (OWNER) |
| Authorized Official Contact | 9124456063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Aba Llc 10221 Ford Ave Ste 1 Richmond Hill GA 31324-0259 Ph: (912) 445-6063 | Hope Aba Llc 10221 Ford Ave Ste 1 Richmond Hill GA 31324-0259 Ph: (912) 445-6063 |
| NPI Number | 1124657457 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124657457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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