| Wonderland Aba Company | |
|
500 Thrasher St Apt 1119 Norcross GA 30071-1971 | |
| (954) 647-2485 | |
| Not Available |
| Full Name | Wonderland Aba Company |
|---|---|
| Speciality | Behavior Analyst |
| Location | 500 Thrasher St Apt 1119, Norcross, Georgia |
| Authorized Official Name and Position | Kiran Karim Lalani (BCBA) |
| Authorized Official Contact | 9546472485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderland Aba Company 500 Thrasher St Apt 1119 Norcross GA 30071-1971 Ph: (954) 647-2485 | Wonderland Aba Company 500 Thrasher St Apt 1119 Norcross GA 30071-1971 Ph: (954) 647-2485 |
| NPI Number | 1730917360 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730917360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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