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Organization
AUTISMNESS ABA LLC
Active
Organization
AUTISMNESS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ERISMAN (OWNER)
(813) 468-7750
Entity
Organization
Contact information
Practice address
614 W CROSSVILLE RD, ROSWELL, GA 30075-2560
(770) 680-2535
Mailing address
2231 SAGE MOUNTAIN CT SW, MARIETTA, GA 30064-2204
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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