Organization
A NEW WAY ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BROCK (CHIEF CLINICAL OFFICER)
(919) 599-4570
Entity
Organization
Contact information
Practice address
2012 PILOT RILEY RD, ZEBULON, NC 27597-6219
(919) 599-4570
Mailing address
2012 PILOT RILEY RD, ZEBULON, NC 27597-6219
(919) 599-4570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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