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Organization
MID-SOUTH ABA THERAPY
Active
Organization
MID-SOUTH ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL ACOSTA (OWNER)
(901) 859-9855
Entity
Organization
Contact information
Practice address
5796 SHELBY OAKS DR STE 6, MEMPHIS, TN 38134-7333
(901) 859-9855
Mailing address
6923 RED GUM CV, MEMPHIS, TN 38119-6810
(901) 859-9855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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