| New Day Aba Therapy Llc | |
|
2450 Atlanta Hwy Ste 902 Cumming GA 30040-1252 | |
| (770) 282-7676 | |
| (833) 255-5667 |
| Full Name | New Day Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2450 Atlanta Hwy Ste 902, Cumming, Georgia |
| Authorized Official Name and Position | Angie Boltwood (BILLING MANAGER) |
| Authorized Official Contact | 7705309051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Day Aba Therapy Llc 2450 Atlanta Hwy Ste 902 Cumming GA 30040-1252 Ph: (770) 282-7676 | New Day Aba Therapy Llc 2450 Atlanta Hwy Ste 902 Cumming GA 30040-1252 Ph: (770) 282-7676 |
| NPI Number | 1649776592 |
|---|---|
| Provider Enumeration Date | 03/31/2018 |
| Last Update Date | 06/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649776592 | NPI | - | NPPES |
| 003206816A | Medicaid | GA | |
| 1326548199 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1052189 (Georgia) | Primary |
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