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Organization
THE MAGNOLIA ABA, LLC
Active
Organization
THE MAGNOLIA ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRADLEY (OWNER)
(601) 613-2002
Entity
Organization
Contact information
Practice address
2873 HIGHWAY 49 S, FLORENCE, MS 39073-9409
(601) 613-2002
Mailing address
PO BOX 699, MAGEE, MS 39111-0699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2026
Last updated
09/16/2026
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