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Organization
SECOND CHANCE ABA
Active
Organization
SECOND CHANCE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK BUSTAMANTE BCBA (BEHAVIOR ANALYST)
(301) 655-0832
Entity
Organization
Contact information
Practice address
7817 SW 57TH LN APT 273, GAINESVILLE, FL 32608-4989
(301) 655-0832
Mailing address
3021 BERKS WAY STE 101, RALEIGH, NC 27614-6775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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