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Organization
TRIANGLE ABA LLC
Active
Organization
TRIANGLE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NELMS BCBA (FOUNDER/OWNER)
(561) 310-5195
Entity
Organization
Contact information
Practice address
1600 HILLSBOROUGH ST, RALEIGH, NC 27605-1639
(561) 310-5195
(919) 504-4171
Mailing address
3604 NORWAY CT, RALEIGH, NC 27616-8753
(561) 310-5195
(919) 516-0163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103TC0700X
TAXONOMY CODE
—
01
—
1487832440
NPI
—
05
—
1962895052
—
FL
Enumeration date
08/18/2020
Last updated
06/06/2023
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