# MID-SOUTH ABA THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558171249
- **Authorized official:** APRIL ACOSTA (OWNER)
- **Authorized official phone:** (901) 859-9855

## Contact information

- **Practice address:** 5796 SHELBY OAKS DR STE 6, MEMPHIS, TN 38134-7333
- **Practice address phone:** (901) 859-9855
- **Mailing address:** 6923 RED GUM CV, MEMPHIS, TN 38119-6810
- **Mailing address phone:** (901) 859-9855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 01/13/2025