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Organization

BOUNDLESS ABA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD GOODEN JR. (OWNER)
(540) 212-4060
Entity
Organization

Contact information

Practice address
2202 ROANOKE AVE SW, ROANOKE, VA 24015-5518
(540) 212-4060
Mailing address
2202 ROANOKE AVE SW, ROANOKE, VA 24015-5518
(540) 212-4060

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
09/02/2024
Last updated
01/15/2025
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