| Ignited Minds Aba Inc | |
|
900 Cox Rd Ste C Gastonia NC 28054-3433 | |
| (828) 455-3446 | |
| (704) 594-1874 |
| Full Name | Ignited Minds Aba Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 900 Cox Rd Ste C, Gastonia, North Carolina |
| Authorized Official Name and Position | Paul Alan Routhier (OWNER) |
| Authorized Official Contact | 8284553446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignited Minds Aba Inc Po Box 355 Dallas NC 28034-0355 Ph: (828) 455-3446 | Ignited Minds Aba Inc 900 Cox Rd Ste C Gastonia NC 28054-3433 Ph: (828) 455-3446 |
| NPI Number | 1649947656 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649947656 | NPI | - | NPPES |
| 1841765419 | Medicaid | NC |
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