| Regency Aba Llc | |
|
5078 Allatoona Gtwy Acworth GA 30101-4906 | |
| (404) 441-4700 | |
| Not Available |
| Full Name | Regency Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5078 Allatoona Gtwy, Acworth, Georgia |
| Authorized Official Name and Position | Raizy Brach (OWNER) |
| Authorized Official Contact | 2122039323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regency Aba Llc 728 5th Ave Brooklyn NY 11232-4421 Ph: () - | Regency Aba Llc 5078 Allatoona Gtwy Acworth GA 30101-4906 Ph: (404) 441-4700 |
| NPI Number | 1801501739 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801501739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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