| Successful Child Aba Therapy, Llc | |
|
304 Wellington Pl Jacksonville NC 28546-8341 | |
| (910) 939-9986 | |
| (910) 460-3967 |
| Full Name | Successful Child Aba Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 304 Wellington Pl, Jacksonville, North Carolina |
| Authorized Official Name and Position | Katrina Marie Marler (OWNER/SUPERVISOR) |
| Authorized Official Contact | 9109399986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Successful Child Aba Therapy, Llc 304 Wellington Pl Jacksonville NC 28546-8341 Ph: (910) 939-9986 | Successful Child Aba Therapy, Llc 304 Wellington Pl Jacksonville NC 28546-8341 Ph: (910) 939-9986 |
| NPI Number | 1790375335 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 01/18/2021 |
| Certification Date | 01/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790375335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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