| Sunrise Aba & Autism Services, L.l.c | |
|
4160 Piedmont Pkwy Ste 205 Greensboro NC 27410-8174 | |
| (336) 645-6733 | |
| (336) 645-7051 |
| Full Name | Sunrise Aba & Autism Services, L.l.c |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4160 Piedmont Pkwy Ste 205, Greensboro, North Carolina |
| Authorized Official Name and Position | Mamie Ann Turner (BEHAVIOR ANALYST) |
| Authorized Official Contact | 3364551517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Aba & Autism Services, L.l.c 5202 Olde Forest Dr Greensboro NC 27406-8763 Ph: (336) 455-1517 | Sunrise Aba & Autism Services, L.l.c 4160 Piedmont Pkwy Ste 205 Greensboro NC 27410-8174 Ph: (336) 645-6733 |
| NPI Number | 1548811177 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548811177 | NPI | - | NPPES |
| 1548811177 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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