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Organization
ADVANCED BEHAVIORAL CONCEPTS LLC
Active
Organization
ADVANCED BEHAVIORAL CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETERNIA RICHMOND (CEO)
(910) 709-3487
Entity
Organization
Contact information
Practice address
4050 SOUTHWOOD CIR SW UNIT 1104, ATLANTA, GA 30331-8818
(910) 709-3487
Mailing address
6946 SKYHAWK DR, FAYETTEVILLE, NC 28314-5381
(336) 212-9236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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