| Imagine Applied Behavior Analysis Llc | |
|
164 Stricklin Rd Cullman AL 35057-3305 | |
| (256) 469-8493 | |
| Not Available |
| Full Name | Imagine Applied Behavior Analysis Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 164 Stricklin Rd, Cullman, Alabama |
| Authorized Official Name and Position | Jacob Doss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2054680993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Applied Behavior Analysis Llc 164 Stricklin Rd Cullman AL 35057-3305 Ph: (256) 469-8493 | Imagine Applied Behavior Analysis Llc 164 Stricklin Rd Cullman AL 35057-3305 Ph: (256) 469-8493 |
| NPI Number | 1740958370 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740958370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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