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Organization

DIVERSITY ABA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDRE ANDERSON (CEO/BCBA)
(404) 576-8332
Entity
Organization

Contact information

Practice address
303 PREMIER CENTER NORTH STE 300, ATLANTA, GA 30346
(404) 576-8332
Mailing address
303 PREMIER CENTER NORTH STE 300, ATLANTA, GA 30346
(404) 576-8332

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/09/2021
Last updated
04/09/2021
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