Imagine Applied Behavior Analysis Llc | |
164 Stricklin Rd Cullman AL 35057-3305 | |
(256) 469-8493 | |
Not Available |
Full Name | Imagine Applied Behavior Analysis Llc |
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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 |
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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 |
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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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